Daulat Khan.
An experience of management of rectal prolapse in children.
J Surg Pak Jan ;13(1):33-5.

Objective: To analyze results of injection sclerotherapy (5% phenol in almond oil) with Thiersch`s stitch for rectal prolapse in children. Study Design: Descriptive study Place & Duration of study: Paediatric Surgical Department at Sandeman Provincial Hospital Quetta, from January 2006 to December 2006. Patients & Methods: All patients presenting with rectal prolapse either in emergency or as an elective case were entered into the study. Procedure was done under general anesthesia. All patients received injection sclerotherapy using 5 percent phenol in almond oil. It was injected submucosally. Maximum amount used was 8 -10 ml in one sitting. It was injected at three locations in linear fashion. A Thiersch`s stitch using chromic catgut was also applied as a part of procedure. All patients were followed for a month to note any recurrence. Results: Total number of patients was 130. There were 73 male and 57 females. The age ranged from 2 years to 12 years. No anesthesia related complication observed. Hospital stay was one day in elective cases. Recurrence occurred in three cases. Complications occurred in three patients in the form of local abscess that needed drainage. Conclusions: Sclerotherapy alone is not always successful in relieving rectal prolapse. Addition of Thiersch`s stitch help sclerosant to takes its effect while rectum is still retained inside the body. We therefore recommend this protocol for the treatment of rectal prolapse.

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