Document Detail

Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia.
MedLine Citation:
PMID:  18675652     Owner:  NLM     Status:  MEDLINE    
Recurrent rectal prolapse, resistant to medical treatment, is an indication for surgical treatment. Patients with spinal dysraphia frequently have already been treated by sclerotherapy or other surgical techniques, but unsuccessfully. METHODS: We present 2 patients, who underwent laparoscopic rectopexy, with spinal dysraphia and complete rectal prolapse relapse after conservative treatment. In these patients, we performed, as an additional technique, fixation of the rectosigmoid to avoid recurrence by invagination or prolapse of the anterior wall. RESULTS: Follow-up at 14 and 11 months, respectively, did not find any recurrence. CONCLUSION: We suggest that laparoscopic rectopexy with sigmoid fixation should be considered as an alternative for the treatment for patients with spinal dysraphia and rectal prolapse to avoid recurrence.
Fernando Montes-Tapia; Idalia Cura-Esquivel; Ulises Garza-Luna; Guillermo Martínez-Flores; Gerardo Muñoz-Maldonado; Valdemar Abrego-Moya
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  43     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-11-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1551-3     Citation Subset:  IM    
Pediatric Surgery, Hospital Universitario Dr José E González, Universidad Autónoma de Nuevo León, Madero y Gonzalitos, Monterrey, Nuevo León 64460, México.
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MeSH Terms
Abnormalities, Multiple / diagnosis,  surgery
Colon, Sigmoid / surgery*
Follow-Up Studies
Laparoscopy / methods*
Pneumoperitoneum, Artificial
Rectal Prolapse / complications,  diagnosis,  surgery*
Recurrence / prevention & control
Risk Assessment
Spinal Dysraphism / complications,  diagnosis,  surgery*
Treatment Outcome

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