Evidence map›Paper›PMID 38357321›Full record

ArticleNorthern clinics of Istanbul2024

An innovative surgical treatment method in persistent rectal prolapse: Ventral abdomino-rectosigmoidopexy through tube sigmoidostomy combined with Ekehorn's rectopexy.

Sabri Cansaran, Cengiz Gul, Olga Devrim Ayvaz, Yusuf Polat, Aysenur Celayir

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Article in Northern clinics of Istanbul, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Sabri CansaranDepartment of Pediatric Surgery, University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center, Istanbul, Turkiye.
Cengiz GulDepartment of Pediatric Surgery, University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center, Istanbul, Turkiye.
Olga Devrim AyvazDepartment of Pediatric Surgery, University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center, Istanbul, Turkiye.
Yusuf PolatDepartment of Pediatric Surgery, University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center, Istanbul, Turkiye.
Aysenur CelayirDepartment of Pediatric Surgery, University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center, Istanbul, Turkiye.
Zeynep Kamil Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHerein, the results of the cases, who underwent surgical repair with or without ventral abdomino-rectosigmoidopexy through tube sigmoidostomy combined with Ekehorn's rectopexy due to recurrent rectal prolapse, were discussed.

methodsThe demographic characteristics, surgical technique, and results of children who were operated in the department of Pediatric Surgery for rectal prolapse between 2004 and 2022 were retrospectively analyzed.

resultsIn 18 years, six pediatric cases (2 females [33%] and 4 males [67%]) were operated for persistent rectal prolapse. The mean operative age of the patients was 7.5 years (2.1-17), and all had severe rectal prolapse. Some of these patients were followed up in other centers and their rectal prolapse continued despite diet changes, toilet behavior training, and the treatment of sclerosing agents. Rectal trimming was applied to one of the first two patients who were operated for anal atresia and recurrence did not occur. In the second case who underwent laparoscopic colon pull-through, Ekehorn rectopexy was performed alone and no recurrence was observed also in this case. Considering that rectosigmoid colon adhesions formed on the anterior abdominal wall due to colostomy opening-closing may provide ventral sigmoidopexy, it was decided to offer the option of applying both methods together. Three of the next four cases were diagnosed with cystic fibrosis. All four underwent ventral abdomino-rectosigmoidopexy through tube sigmoidostomy combined with Ekehorn's rectopexy. Ekehorn's butterfly sutures were removed on 15

conclusionVentral abdomino-rectosigmoidopexy through tube sigmoidostomy combined with Ekehorn's rectopexy is a successful and unique method in terms of providing intestinal fixation. It may be the primary option for definitive surgical treatment of persistent rectal prolapse.

Indexed as

ChildEkehorn’s rectopexyprocidentiarectal prolapsesurgical treatmentventral abdomino-rectosigmoidopexy

Identifiers

PMID38357321
PMCPMC10861431
OpenAlexW4320924353

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.