Mohammad Arif, Afzal Junejo.
Injection Sclerotherapy Using 5% Phenol in Almond Oil in the Treatment of Partial Rectal Prolapse in Children.
J Surg Pak Jan ;6(3):29-30.

Seventy four children aged 6 months to 9 years, with partial prolapse of rectum presented at Surgical Unit-11, Liaquat Medical College Hospital Jamshoro, over a period of five years from January 1996 to December 2000. There were 44 males and 30 females, with male to female ratio of 1.47:1. They were initially treated conservatively and 52 patients (70%) were cured on conservative treatment alone. Remaining 22 patients (30%) were subjected to injection sclerotherapy using 5% phenol in almond oil through proctoscope into rectal submucosa. The cure rate after first injection was 72.73% and after 2nd and 3rd injection was 86.36%. Only 03 patients out of these 22 (13.64%) were ultimately recommended surgery. Overall patients requiring surgery were 03 out of 74 (4%). It is recommended that partial rectal prolapse in children should initially be treated conservatively. When this fails, injection sclerotherapy using 5% phenol in almond oil is a safe, inexpensive and easily available treatment. Surgery should only be considered in those patients, in which injection sclerotherapy fails.

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