Rectal prolapse

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Children presenting RP and older than 4 years usually have a predisposing condition. These older patients usually present recurrent or persistent RP and tend to require surgical repair more often, while RP is usually a self-limiting condition that resolves spontaneously in younger patients [2]."

[size=20px]A 3-year-old boy has partial-thickness rectal prolapse intermittently for the last 6 months. His parents need to manually reduce it every other week. He passes a hard stool every 2 to 3 days. There is no history of greasy stools or failure to thrive. The most appropriate next step is: A Sweat chloride test B Pelvic floor therapy C Laxative therapy D Laparoscopic rectopexy E Sclerotherapy[/size]

A teenage girl has recurrent rectal prolapse. She had multiple sclerotherapies, rectopexy,and cerclage without success. The prolapse is orange-sized as illustrated, causes discomfort and bleeding, and sometimes requires manual reduction. Next step?​

see video HQ link in second post

[size=20px]A 4 year old boy with constipation has recurring episodes of rectal prolapse with bowel movements that frequently require manual reduction. A trial of laxatives improved the constipation but the prolapse persists. Which of the following would be the best next step? A Continued observation B injection sclerotherapy C Altmeier procedure D posterior sagittal rectopexy E laparoscopic rectopexy​[/size]

see video link in second post

[size=20px]A 2 year-old boy has had partial-thickness rectal prolapse for 6 months. His parents need to reduce it every other week. He passes a hard stool every 2 to 3 days. There is no history of greasy stools or failure to thrive. The most appropriate next step is: A Laxative therapy B Pelvic floor therapy C Laparoscopic rectopexy D Sweat chloride test E Sclerotherapy[/size]

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Any one want a high quality PDF of this chart, post in this thread, use a personalized picture as an avatar, and have two threads in the forums, I will send it to you in a private message Edit: Available without restrictions

see video link in second post

see video link in second post