Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia.
Recurrent rectal prolapse, resistant to medical treatment, is an indication for surgical treatment. Patients with spinal dysraphia frequently have already been treated by sclerotherapy or other surgical techniques, but unsuccessfully.


METHODS
We present 2 patients, who underwent laparoscopic rectopexy, with spinal dysraphia and complete rectal prolapse relapse after conservative treatment. In these patients, we performed, as an additional technique, fixation of the rectosigmoid to avoid recurrence by invagination or prolapse of the anterior wall.


RESULTS
Follow-up at 14 and 11 months, respectively, did not find any recurrence.


CONCLUSIONS
We suggest that laparoscopic rectopexy with sigmoid fixation should be considered as an alternative for the treatment for patients with spinal dysraphia and rectal prolapse to avoid recurrence.
Montes-Tapia
Fernando
F
Pediatric Surgery, Hospital Universitario Dr José E González, Universidad Autónoma de Nuevo León, Madero y Gonzalitos, Monterrey, Nuevo León 64460, México. ffmt@yahoo.com
Cura-Esquivel
Idalia
I
Garza-Luna
Ulises
U
Martínez-Flores
Guillermo
G
Muñoz-Maldonado
Gerardo
G
Abrego-Moya
Valdemar
V
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D012809:Colon, Sigmoid / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D011028:Pneumoperitoneum, Artificial; D012005:Rectal Prolapse / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D055502:Secondary Prevention; D016135:Spinal Dysraphism / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome