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Mokhtar et al. Mini-invasive Surg 2017;1:24-30 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2016.09
www.misjournal.net
Original Article Open Access

Evaluation of laparoscopic

rectosigmoidopexy for the treatment of

complete rectal prolapse in children

Ahmed Mokhtar, Mohamed Abouheba, Sameh Shehata
Pediatric Surgery Department, Children’s Hospital, Alexandria University, El-Shatby, Alexandria 21131, Egypt.

Correspondence to: Prof. Sameh Shehata, Pediatric Surgery Department, Children’s Hospital, Alexandria University, El-Shatby, Alexandria 21131,
Egypt. E-mail: drsamehs@yahoo.com

How to cite this article: Mokhtar A, Abouheba M, Shehata S. Evaluation of laparoscopic rectosigmoidopexy for the treatment of complete rectal
prolapse in children. Mini-invasive Surg 2017;1:24-30.

Prof. Sameh Shehata is working as professor and past chairman of Pediatric Surgery Department, Faculty of Medicine,
University of Alexandria, Egypt. He is the past president of the Egyptian Association of Pediatric Surgeons. He has
a wide international activity in the field of pediatric surgery; he is the president-elect of the WOFAPS, and the co-
chairman of the IPEG middle east chapter. He has given over 150 lectures both nationally and internationally and was
invited as a guest lecture in many national associations congresses. He is among the editorial board of many national
and international pediatric surgery journals including the JPS, PSI and International Journal of Urology.

ABSTRACT
Article history: Aim: Rectal prolapse in children is a common condition in infancy and early childhood that
Received: 20-12-2016 usually responds to conservative measures. Surgery is reserved only for resistant cases that
Accepted: 07-03-2017 fail to respond to conservative measures. This study was designed to evaluate the efficacy
Published: 31-03-2017 of 3-point fixation concept (retrorectal dissection, rectopexy to presacral fascia of the sacral
promontory and sigmoidopexy onto the anterior abdominal wall) in treatment of complete
Key words: rectal prolapse in children using laparoscopy. Methods: This prospective study was conducted
Laparoscopy, on 12 children with persistent complete rectal prolapse who failed to respond to adequate
rectopexy, conservative measures from July 2015 to July 2016. The technical details of the procedure
sigmoidopexy, are described. Patients were followed up for at least 6 months and were assessed clinically
rectal prolapse, and radiologically for continence and constipation using the appropriate scoring systems.
children, Results: Twelve patients were included, 8 females and 4 males, laparoscopic rectopexy and
3-point fixation sigmoidopexy were done for all cases. The mean duration for surgery was 58.42 min. No
intraoperative complications recorded. One case (8.3%) had partial thickness recurrence and
1 case had skin stitch sinus. No postoperative constipation nor incontinence was observed.
Conclusion: The laparoscopic rectopexy and sigmoidopexy is an effective approach for
the treatment of refractory complete rectal prolapse in children. The 3-point fixation proved
efficient in controlling rectal prolapse in children with minimal complications.

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