Paper Information

Journal:   MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES   WINTER 2011 , Volume 53 , Number 4; Page(s) 234 To 239.
 
Paper: 

OUTCOMES OF RECTOPEXY OF RECTAL PROLAPSE THROUGH ANUS BY SUB MUCOSAL INJECTION OF 5% DEXTROSE

 
 
Author(s):  JOUDI M., HIRADFAR M., GHARAVI M., SOLTANIAN A., FATHI MAHDI*
 
* NO35-BOKHARAEE STREET 17#-MASHHAD, IRAN
 
Abstract: 

Introduction: Considering the vast methods of rectal prolapsed, a very common condition in children, either surgical (by abdominal or perineal approach) or non-surgical (sclerozing agents’ injection), the authors evaluated the therapeutic effects of injecting dextrose 50% through perineal rectopexy.
Materials and Methods: All those referred patients with rectal prolaps to Dr. Sheikh children hospital were included in this study. All were sub-mucusally injected 5 cc of dextrose 50% solution and the therapeutic results (recurrence and complications) were evaluated.
Results: During this study 46 patients were injected about 5 cc of dextrose 50% solution. All went through the operation without any complications and during a 6 month following up none of the complications such as fistulae, abscess formation, urinary retention, and mucosal necrosis were detected. Nine patients were re-injected due to the prolapsed recurrence however no complications occurred in the second operation. The described procedure is a simple, inexpensive, and repeatable one.
Conclusion: Deflux has been suggested as the best sclorizing agent in articles but it is expensive. Sub-mucusally injection of dextrose 50% is a simple, inexpensive, and repeatable procedure with a 100% positive therapeutic results, therefore could be, suggested as a substitution procedure in treating children’s rectal prolapsed.

 
Keyword(s): COMPLICATION, RECTAL PROLAPSE, RECCURENCE, SUB-MUCOSAL INJECTION
 
References: 
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