What is closed rectosacropexy for 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

In Egypt, Lasheen described a technique of closed rectosacropexy for management of rectal prolapse in children. [65] The technique simply involves passing several U-shaped sutures through stab incisions made in the skin posterior to the anus, into the sacral fascia, then into the wall of rectum, down to the anal canal, and out through the stab incisions. The strands of the suture are tied subcutaneously through the stab incisions.

This operation was successfully performed in 42 children (mean age, 3.5 years) who had recurrent rectal prolapse for 3-5 months. None of the children had any further recurrence or specific complications during follow-up of 1-3 years.


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