采用腹腔镜入路进行乙状结肠固定联合直肠固定术可预防患有脊髓发育不良的儿科患者直肠脱垂复发。
Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia.
作者信息
Montes-Tapia Fernando, Cura-Esquivel Idalia, Garza-Luna Ulises, Martínez-Flores Guillermo, Muñoz-Maldonado Gerardo, Abrego-Moya Valdemar
机构信息
Pediatric Surgery, Hospital Universitario Dr José E González, Universidad Autónoma de Nuevo León, Madero y Gonzalitos, Monterrey, Nuevo León 64460, México.
出版信息
J Pediatr Surg. 2008 Aug;43(8):1551-3. doi: 10.1016/j.jpedsurg.2008.02.082.
UNLABELLED
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.
CONCLUSION
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.
未标注
复发性直肠脱垂，对药物治疗无效，是手术治疗的指征。脊髓发育不良的患者经常已经接受过硬化疗法或其他手术技术治疗，但未成功。
方法
我们介绍2例脊髓发育不良且保守治疗后直肠完全脱垂复发的患者，他们接受了腹腔镜直肠固定术。在这些患者中，作为一项附加技术，我们对直肠乙状结肠进行固定，以避免前壁内陷或脱垂导致复发。
结果
分别随访14个月和11个月，未发现任何复发情况。
结论
我们建议，对于脊髓发育不良和直肠脱垂患者，应考虑采用腹腔镜直肠固定术联合乙状结肠固定术作为治疗方法，以避免复发。
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