نتايج درماني ثابت كردن ركتوم از طريق مقعد با تزريق زير مخاطي دكستروز 50% در كودكان مبتلا به پرولاپس ركتوم مقاوم به درمان طبي

Outcomes of Rectopexy of Rectal Prolapse through Anus by Sub Mucosal Injection of 5% Dextrose

Considering the vast methods of rectal prolapsed, a very common condition in children, either surgical (by abdominal or perineal approach) or non-surgical (sclerozing agentsʹ 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 childrenʹs rectal prolapsed. Original article