What is the optimal surgical approach for the treatment of pediatric rectal prolapse?

Updated: Dec 12, 2019
  • Author: Jaime Shalkow, MD, FACS; Chief Editor: Carmen Cuffari, MD  more...
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Answer

A great deal of debate surrounds the optimal surgical management of rectal prolapse. Currently, more than 130 operative procedures for the treatment of rectal prolapse are recognized. In 2008, a Cochrane Database Review of studies available in adult literature found that all reparative procedures have similar clinical outcomes with various degrees of risk. [47]

No single surgical procedure is appropriate for all patients with rectal prolapse [48] ; each has disadvantages and carries some risk of recurrence. No clear-cut indication for any procedure is known, and no consensus has been reached on the operation of choice for a particular patient. Personal experience of the surgeon is a major determinant.


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