Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia

Montes Tapia, Fernando Félix y Cura Esquivel, Idalia Aracely y Garza Luna, Ulises y Martínez Flores, Guillermo y Muñoz Maldonado, Gerardo y Abrego Moya, Valdemar (2008) Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia. Journal of Pediatric Surgery, 43 (8). pp. 1551-1553. ISSN 0022-3468

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Resumen

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.

Tipo de elemento: Article
Palabras claves no controlados: Rectal prolapse, Spinal dysraphia, Laparoscopic rectopexy, Sigmoid fixation
Materias: R Medicina > RD Cirugía
R Medicina > RJ Pediatría
Divisiones: Medicina
Usuario depositante: Dr. med. Fernando Montes Tapia
Creadores:
CreadorEmailORCID
Montes Tapia, Fernando Félixfernando.montestp@uanl.edu.mxNO ESPECIFICADO
Cura Esquivel, Idalia AracelyNO ESPECIFICADONO ESPECIFICADO
Garza Luna, UlisesNO ESPECIFICADONO ESPECIFICADO
Martínez Flores, GuillermoNO ESPECIFICADONO ESPECIFICADO
Muñoz Maldonado, GerardoNO ESPECIFICADONO ESPECIFICADO
Abrego Moya, ValdemarNO ESPECIFICADONO ESPECIFICADO
Fecha del depósito: 07 Mar 2016 22:12
Última modificación: 16 Ene 2017 20:24
URI: http://eprints.uanl.mx/id/eprint/9442

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