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Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES | Year:1389 | Volume:53 | Issue:4 | Start Page:234 | End Page:239

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Title

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

Pages

 Start Page 234 | End Page 239

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.

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