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Robotic Rectopexy for Rectal Prolapse in Pediatric Patients.

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eMediNexus    29 January 2018

The findings of a new study published in The American Surgeon indicated that robotic rectopexy provided a safe, reliable, and short-term resolution of rectal prolapse in pediatric patients. This study reviewed the experience of robotic rectopexy at a single institution. It comprised a retrospective review of pediatric robotic rectopexy outcomes from 2012 to 2015. The findings disclosed that four pediatric patients underwent a robotic rectopexy for rectal prolapse during the study period, of which three were males and one was female. These patients belonged to the age-group of 13-17 years. Two patients had rectal prolapse with chronic constipation; one patient had rectal prolapse from Ehlers Danlos syndrome; while another had rectal prolapse after imperforate anus repair as an infant. Three patients received a bowel preparation; three patients were completed robotically, whereas one patient required conversion to an open procedure. It was noted that the average postoperative length of stay was 3.25 days. There were no episodes of recurrent prolapse. Two patients had improvement in constipation, one had no improvement, and one had no documented change. In addition, the average postoperative follow-up was 11.5 months. From the results, it was concluded that with short-term follow-up, there was no recurrence of prolapse.

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