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25-10-2022 | Rectal Prolapse | Original Article

Hemi-circumferential mucosal resection and anastomosis procedure for rectal prolapse following anorectoplasty for anorectal malformations

Authors: Aitaro Takimoto, Hizuru Amano, Chiyoe Shirota, Wataru Sumida, Satoshi Makita, Masamune Okamoto, Seiya Ogata, Shunya Takada, Yoichi Nakagawa, Daiki Kato, Yosuke Gohda, Akinari Hinoki, Hiroo Uchida

Published in: Surgery Today | Issue 5/2023

Abstract

Purpose

Rectal prolapse after radical surgery for anorectal malformations (ARMs) is a common postoperative complication that causes bleeding and stenosis, and sometimes requires surgical treatment. Different surgical techniques have been reported, but most are associated with high recurrence rates and a long postoperative stay. We performed the hemi-circumferential mucosal resection and anastomosis procedure (HCMR) to preserve anal muscle and anal function. Here, we report the success of our minimally invasive surgical approach to correct rectal prolapse in patients with ARMs.

Methods

The subjects of this retrospective review were patients who underwent HCMR for rectal prolapse after radical surgery for ARMs between January, 2014 and August, 2021. HCMR involves rectal mucosal resection without muscle plication.

Results

A collective 15 HCMR procedures were performed in 10 patients. The median age at repair was 1.8 years (range, 10 months–18 years). The median operation time and postoperative length of stay were 46 min (range, 17–85 min) and 3 days (range, 1–7 days), respectively. The median postoperative observation period was 3 years 4 months (range, 8 months–7 years 10 months) and no complications or recurrences were observed.

Conclusions

HCMR is a safe and effective surgical treatment for rectal prolapse after radical operation for ARMs, which is minimally invasive and preserves rectal muscle and function.

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Title: Hemi-circumferential mucosal resection and anastomosis procedure for rectal prolapse following anorectoplasty for anorectal malformations
Authors: Aitaro Takimoto
Hizuru Amano
Chiyoe Shirota
Wataru Sumida
Satoshi Makita
Masamune Okamoto
Seiya Ogata
Shunya Takada
Yoichi Nakagawa
Daiki Kato
Yosuke Gohda
Akinari Hinoki
Hiroo Uchida
Publication date: 25-10-2022
Publisher: Springer Nature Singapore
Keywords: Rectal Prolapse
Posterior Sagittal Anorectoplasty
Published in: Surgery Today / Issue 5/2023
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-022-02611-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Hemi-circumferential mucosal resection and anastomosis procedure for rectal prolapse following anorectoplasty for anorectal malformations

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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