What is the role of perineal resection in the treatment of pediatric rectal prolapse?

Updated: Nov 12, 2018
  • Author: Jaime Shalkow, MD, FACS; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Mikulicz first described perineal resection in 1889. [3] Perineal rectosigmoidectomy with rectopexy, correction of the pelvic floor (plication of the puborectalis muscles), and coloanal anastomosis is promising and could be a good approach for pediatric patients with intractable prolapse and redundant sigmoid. It has been successfully performed using stapling devices for the resection and reconstruction of colonic continuity. [63] This technique avoids the abdominal approach, with its obvious complications.


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