Treatment of rectal prolapsed in childhood is:: (A) Lahaut's operation, (B) Incision of prolapsed mucosa, (C) Thiersch wiring, (D) Ripstein operation
Answer is C. Ans. (c) Thiersch wiringRectal prolapse in childhood:* Most common in age 8-12 months* Usually follows an episode of severe diarrhea due to loss of perirectal pad of fat* It may also follow pin worm infestation and malabsorption.* Conservative management:# Control diarrhea, worm infestation and correct malnutrition# Surgery is reserved if there is persistent disease after manual reduction* Options in childhood:# 5% phenol in olive oil injected Submucosally# Thiersch encirclage operation.# Lockhart Mummery rectopexy