Evaluation of laparoscopic suture rectopexy for the treatment of complete rectal prolapse in children.

Background: Rectal prolapse is a common condition in children aged 1–3. Complete rectal prolapse affects the fullthickness of the rectum and protrudes 5 cm or more, which is distinguished by circular mucosal folds.Aim: Evaluation of the effectiveness and safety of laparoscopic suture rectopexy for the treatment of complete rectalprolapse in children.Patients and Methods: This prospective study included 20 children with complete rectal prolapse who had laparoscopicsuture rectopexy for the treatment of complete rectal prolapse in children at Menoufia University Hospital, Al GalaaTeaching Hospital, and Ministry of Health Hospitals during the period from January 2023 until January 2024.Results: There were no patients who had experienced a recurrence of external rectal prolapse, all patients had smoothrecovery postoperatively without complications or any recurrence during the postoperative follow-up period, and allpatients had experienced an improvement in their bowel function. Regarding their prolapse history, 11 (55%) patientshad bleeding per rectum, four (20%) patients had pain, five (25%) patients had constipation, and two (10%) patients hadfecal soiling. The mean prolapse length (cm) was 9.35±1.56 with a range 7–12 cm and all children had complete rectalprolapse (100%).Conclusion: Laparoscopic suture rectopexy is a safe and effective technique for managing complete rectal prolapse,avoiding injury to autonomic nerve supply, lateral ligaments, and pelvic floor muscles support with low recurrence ratesand significant improvement in constipation and fecal incontinence.