title: Sequential linear stapling technique for perineal resection of intractable pediatric rectal prolapse.
abstract: Rectal prolapse (RP), although most frequently encountered in the frail elderly, may also occur in children. This condition is most troublesome in the premature infant with significant associated comorbidities. Pediatric RP most often can be managed conservatively with expectant and/or judicious use of laxative-based bowel regimens. In rare instances of intractable RP, surgical intervention ranging from simple (sclerotherapy, Thiersch wire) to complex (perineal or transabdominal bowel resection) becomes necessary. We describe a modification of the Altemeier technique using a novel sequential linear stapling technique to treat intractable RP in a 5.0-kg infant with severe coexisting life-threatening comorbidities. The child had resumption of bowel movements on postoperative Day 1 and has had no recurrences. Sequential linear stapling technique for perineal resection of intractable pediatric RP appears to be a safe and potentially attractive alternative.
authors.affiliation: Department of General Surgery, Kwandong University, Myongji Hospital, College of Medicine, Deokyang-Gu, Goyang, Gyeonggi, Korea.
authors.forename: Jong In
authors.initials: JI
authors.lastname: Lee
authors.forename: Adam M
authors.initials: AM
authors.lastname: Vogel
authors.forename: Adam M
authors.initials: AM
authors.lastname: Suchar
authors.forename: Loretto
authors.initials: L
authors.lastname: Glynn
authors.forename: Mindy B
authors.initials: MB
authors.lastname: Statter
authors.forename: Donald C
authors.initials: DC
authors.lastname: Liu
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003672:Defecation / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D010502:Perineum / Q000601:surgery*; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012008:Recurrence; D012449:Safety; D017792:Surgical Stapling / Q000379:methods*; D016896:Treatment Outcome