Rectal prolapse-simplest management by using ekehorn and rectopexy

Objectives: report out experience of the treatment of rectal prolapse in children by using the simplest method posterior rectal wall stitch-ekehorn s rectopexy. design: selection of the cases was at random. place and duration of study: the study was conducted in the department of pediatric surgery of fatima memorial hospital lahore from january 1997 to december 2010. results: all patients having history of rectal prolapse for more than three months having no congenital anomalies and no operation carried out in the perineal region were included in the study. in all patients first of all underlying cause was treated and then posterior rectal wall stitch was applied. the major causes leading to rectal prolapse were gastroenteritis,malnourishment,worm's infestation and rectal polyp. our successes rate was 98%. in 1% cases recurrence occurs which heals spontaneously and in 1% cases infection occur for which antibiotics have to be used. conclusion: despite the number of methods available,the posterior rectal wall stitch-ekehorn s rectopexy,is an ideal method of treatment with minimal complications,recurrence rate and is the cheapest one.