Injection sclerotherapy of rectal prolapse in children with 15 percent saline solution.
OBJECTIVE
A wide variety of sclerosing agents have been used in the treatment of rectal prolapse (RP) in children. We have used 15 % saline solution for the first time in the treatment. The aim of this study is to review the results of a 15 % saline solution and other sclerosing agents.


METHODS
A total of 16 children with RP were treated by injection of 15 % saline solution. Under general anesthesia, the patient was placed in the lithotomy position. The left index finger was inserted into the rectum to control the position of the needle, a 20-gauge spinal needle was introduced through the perianal skin and was advanced. The saline was slowly injected, the needle was then withdrawn slightly, and the injection was continued until 2 - 3 ml of 15 % saline were injected. The injection was made into the submucosal tissue, the right perirectal area, the left perirectal area, and posterior to the rectum at 5 points.


RESULTS
Conservative treatment had previously failed in all patients. Prolapse ceased in 15 (93.7 %) of the 16 children after the first injection. Only one patient required a second injection. There were no complications.


CONCLUSIONS
The success rates and complications of the treatment reported in the literature differ for each sclerosing agent. 15 % saline is preferable because of the high cure rate, the safety of the procedure, the easy injection, and the lack of complications.
Abeş
M
M
Department of Pediatric Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey. yaren-52@ttnet.net.tr
Sarihan
H
H
D002675:Child, Preschool; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D012005:Rectal Prolapse / Q000628:therapy*; D015911:Sclerotherapy; D012965:Sodium Chloride / Q000627:therapeutic use*; D016896:Treatment Outcome
D012965:Sodium Chloride