Robotic Rectopexy for Rectal Prolapse in Pediatric Patients.


eMediNexus    16 May 2018

The purpose of a study published in The American Surgeon was to review the experience with robotic rectopexy at a single institution. The study entailed a retrospective review of the pediatric robotic rectopexy experience from 2012 through 2015. Data was obtained from chart review of both operative notes and clinic visits of pediatric patients. The findings showed that four pediatric patients underwent a robotic rectopexy for rectal prolapse between 2012 and 2015, in the age-range of range 13-17 years, of which three were males and one was female. It was noted that two patients had rectal prolapse with chronic constipation. One patient had rectal prolapse from Ehlers Danlos syndrome, and another had rectal prolapse after an imperforate anus repair as an infant. Three patients received a bowel preparation. In three patients, rectopexy was carried out robotically, while one patient required conversion to an open procedure. The postoperative length of stay ranged between 2-4 days. On the other hand, an episode of recurrent prolapse was absent. Two patients exhibited improvement in constipation, one had no improvement, while one had no documented change. Furthermore, on short-term follow-up, there was no recurrence of prolapse. Thus, it was concluded that robotic rectopexy provided a safe, reliable, and short-term resolution of rectal prolapse in pediatric patients.

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