Abstract | PURPOSE: PATIENTS AND METHODS: A total of 16 children with RP were treated by injection of 15 % saline solution. Under general anesthesia, the patient was placed in the lithotomy position. The left index finger was inserted into the rectum to control the position of the needle, a 20-gauge spinal needle was introduced through the perianal skin and was advanced. The saline was slowly injected, the needle was then withdrawn slightly, and the injection was continued until 2 - 3 ml of 15 % saline were injected. The injection was made into the submucosal tissue, the right perirectal area, the left perirectal area, and posterior to the rectum at 5 points. RESULTS:
Conservative treatment had previously failed in all patients. Prolapse ceased in 15 (93.7 %) of the 16 children after the first injection. Only one patient required a second injection. There were no complications. CONCLUSIONS: The success rates and complications of the treatment reported in the literature differ for each sclerosing agent. 15 % saline is preferable because of the high cure rate, the safety of the procedure, the easy injection, and the lack of complications.
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Authors | M Abeş, H Sarihan |
Journal | European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
(Eur J Pediatr Surg)
Vol. 14
Issue 2
Pg. 100-2
(Apr 2004)
ISSN: 0939-7248 [Print] United States |
PMID | 15185155
(Publication Type: Clinical Trial, Journal Article)
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Chemical References |
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Topics |
- Child, Preschool
- Female
- Humans
- Injections
- Male
- Rectal Prolapse
(therapy)
- Sclerotherapy
- Sodium Chloride
(therapeutic use)
- Treatment Outcome
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