Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
Year : 2014  |  Volume : 33  |  Issue : 3  |  Page : 154-159

Modified Gant-Miwa approach versus modified Thiersch's stitch for the management of rectal mucosal prolapse in children: how to decrease recurrence?

Department of General Surgery, Benha University, Benha, Egypt

Correspondence Address:
El-Sayed A Abd El-Mabood
Department of General Surgery, Benha University, 3A Elharamen Pharmacy Street, Benha
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-1121.141900

Rights and Permissions

Purposes The aim of this study was to assess the early outcomes and advantages of a modified Gant-Miwa approach for the treatment of rectal mucosal prolapse in children and determine how this modification helps decrease recurrence when compared with modified Thiersch's stitch in a prospective and randomized setting. Background Recurrence of rectal mucosal prolapse after rectal mucosal prolapse repair through the anus represents a problem for the surgeon and the patient. Although there are many trials to prevent this recurrence, a definite solution has not been found yet. Patients and methods The study included 60 children with rectal mucosal prolapse (mean age 3.6 ± 1.2 years) who were divided into two groups: group A (N = 30), comprising patients who underwent the modified Gant-Miwa operation, and group B (N = 30), comprising patients who underwent a modified Thiersch's prolene stitch. Results The modified Gant-Miwa operation was a successful approach with which to decrease constipation [2.0 (6.6%) vs. 9.0 (30%) cases; P < 0.05] and recurrence [1.0 (3.3%) vs. 5 (16.6%); P = 0.0002] to a great extent, although it was followed by more anal soiling in the first 2 weeks (11.3 ± 0.7 vs. 3.7 ± 0.2; P > 0.05). Conclusion The modified Gant-Miwa operation was a successful approach for decreasing early postoperative morbidity, especially constipation and recurrence, and thus incidences of surgical redo because of complications were also fewer, despite it being associated with more anal discharge especially in the first 2 weeks.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded208    
    Comments [Add]    

Recommend this journal