Treatment of rectal prolapse in children with cow milk injection sclerotherapy: 30-year experience.
OBJECTIVE
To evaluate the role and our experience of injection sclerotherapy with cow milk in the treatment of rectal prolapse in children.


METHODS
In the last 30 years (1976-2006) we made 100 injections of sclerotherapy with cow milk in 86 children. In this study we included children who failed to respond to conservative treatment and we perform operative treatment.


RESULTS
In our study we included 86 children and in all of the patients we perform cow milk injection sclerotherapy. In 95.3% (82 children) of patients sclerotherapy was successful. In 4 (4.7%) patients we had recurrent rectal prolapse where we performed operative treatment. Below 4 years we had 62 children (72%) and 24 older children (28%). In children who needed operative treatment we performed Thiersch operation and without any complications.


CONCLUSIONS
Injection sclerotherapy with cow milk for treatment rectal prolapse in children is a simple and effective treatment for rectal prolapse with minimal complications.
Zganjer
Mirko
M
Department of Paediatric Surgery, Children's Hospital Zagreb, Klai eva 16, Zagreb 10000, Croatia. mirko.zganjer@zg.htnet.hr
Cizmic
Ante
A
Cigit
Irenej
I
Zupancic
Bozidar
B
Bumci
Igor
I
Popovic
Ljiljana
L
Kljenak
Antun
A
D000818:Animals; D002417:Cattle; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007223:Infant; D007267:Injections; D008297:Male; D008892:Milk; D012005:Rectal Prolapse / Q000601:surgery / Q000628:therapy*; D015911:Sclerotherapy / Q000379:methods*