Schepens M A, Verhelst A A
Department of Pediatric Surgery, Algemeen Kinderziekenhuis Antwerpen, Belgium.
J Pediatr Surg. 1993 Nov;28(11):1494-7. doi: 10.1016/0022-3468(93)90439-r.
An old and simple operative technique for the treatment of rectal prolapse in children, first described by Ekehorn in 1909, has been reviewed. The technique consists of the insertion of a mattress suture (nonabsorbable and multifilament material) in the rectal ampulla through the lowermost part of the sacrum: the strands of the mattress suture are tied firmly over a piece of dry gauze at the level of the sacrococcygeal junction. By leaving the suture in place for 10 days, the local inflammation and infection causes firm adhesions between the rectal wall and the perirectal tissue so that the anorectal wall is bound to the surroundings (sacrorectopexy). The results of this retrospective study on 22 patients proves that this form of transsacral rectopexy in the management of rectal prolapse in children is effective (100%), simple and without complications compared to other techniques. There were no recurrences and no major morbidity. The overall surgical treatment of rectal prolapse in children is briefly reviewed.
一种用于治疗儿童直肠脱垂的古老而简单的手术技术，最早由埃克霍恩于1909年描述，现已得到回顾。该技术包括通过骶骨最下部在直肠壶腹插入一根褥式缝线（不可吸收的多股材料）：褥式缝线的线股在骶尾关节水平牢固地系在一块干纱布上。通过将缝线留置10天，局部炎症和感染会导致直肠壁与直肠周围组织之间形成牢固粘连，从而使肛管直肠壁与周围组织相连（骶直肠固定术）。这项对22例患者的回顾性研究结果证明，这种经骶骨直肠固定术在治疗儿童直肠脱垂方面是有效的（100%），与其他技术相比简单且无并发症。没有复发，也没有严重的发病率。本文简要回顾了儿童直肠脱垂的整体外科治疗。
