Modified Thiersch’s operation for partial rectal prolapse in children

Abstract

Prolapse of the rectum can affect the human at any age but it is more common in children and elderly, it is either partial ( mucosal ) or complete ( procidentia ) . objectives Is to show the efficacy of the modified Thiersch`s stitch by the use of nylon suture in watch spring shape around the anus in the treatment of the partial prolapse of the rectum in children. The present prospective study is concerned with partial rectal prolapse in children of age ranging between 1-12 yrs treated in Samarra general Hospital and Tikrit Teaching Hospital from1992 to 2004. For Twelve years , 81 cases of partial rectal prolapse have been treated, 30 cases ( Group A) were treated by Thiersch`s stitch with a single circle nylon suture around the anus, and 51 cases (Group B ) underwent modified Thiersch’s operation ( making double circles by one zero gauge nylon suture under the skin around the anal verge ) under general anesthesia. The methods gave a 96% cure rate of prolapse, With 20% complication rate ( fecal impaction ) in Group A, and 100% cure rate and 2% complication rate in Group B. as a conclusion, the watch spring shape stitch by nylon around the anus is easy to apply, comfortable to the patient and effective as a treatment for partial rectal prolapse in children with less complication rate than other methods