Authors: Samuel Chidi Ekpemo.
Background: Rectal prolapse is defined as the herniation of rectum through the anus. It is subdivided into partial and complete prolapse. The term Procedentia refers to the complete variety. Rectal prolapse usually occurs at extremes of age and a common problem in children in sub Saharan Africa. This study was on the assessment of management outcome of rectal prolapsed using Theirch circlage children.
Methodology: A prospective study conducted at Department of Pediatric Surgery, Abia State University Teaching Hospital Aba, Nigeria from January 2016 to December 2019. Patients with rectal prolapse for more than 3 months were included in the study and admitted 24 hours before the procedure. Ducolax suppository was given in the evening before the operation. The procedure was performed under general anaesthesia. Vicryl size 1 was wrapped around the lower part of anal canal subcutaneously to augument the lax anal sphincter. Prophylactic antibiotics iv ceftriazone 50mg/kg and metronidazole 8mg/kg at the induction of anaesthesia. Patients were discharged home on same day on oral analgesics for a week and liquid paraffin for a month. They were followed up in the outpatient clinic monthly for 3 months and any complication was recorded and treated accordingly.
Results: Thirty-five patients, 20 males and 15 females, with rectal prolapse were operated during the study period. Age range was 2-8 years. No complication was seen during operation. Post-operatively painful defecation was observed in all patients, wound infection in 5 patients, scanty bleeding and diaper staining in 2 patients, constipation in 4 patients and recurrent rectal prolapse in 2 patients. Conclusion: Surgical treatment of rectal prolapse by Thiersch stitch is simple to perform and has less complications.
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