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 Enrique 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:

Creador	Email	ORCID
Montes Tapia, Fernando Félix	fernando.montestp@uanl.edu.mx	NO ESPECIFICADO
Cura Esquivel, Idalia Aracely	NO ESPECIFICADO	NO ESPECIFICADO
Garza Luna, Ulises	NO ESPECIFICADO	NO ESPECIFICADO
Martínez Flores, Guillermo	NO ESPECIFICADO	NO ESPECIFICADO
Muñoz Maldonado, Gerardo Enrique	cevam99@gmail.com	orcid.org/0000-0002-8937-7909
Abrego Moya, Valdemar	NO ESPECIFICADO	NO ESPECIFICADO