Belal Mosaad Kamel Ibrahim Elezaby, <br/><br/>
Effect of hypertonic saline injection for treatment of idiopathic partial rectal prolapse in children / 
 تأثير الحقن بالمحلول الملحي عالي التركيز لعلاج سقوط المستقيم الجزئي مجهول السبب عند الأطفال / 
by Belal Mosaad Kamel Ibrahim Elezaby ; Supervised Prof. Sherif Nabhan Kaddah, Prof. Wesam Mohamed Mahmoud, Dr. Mostafa Ahmed Gad, Dr. Ahmed Ezzat Abdelnabi Arafat. 
 - 94 pages :   illustrations ;  25 cm. +   CD. 
<br/><br/>Thesis (Ph.D)-Cairo University, 2024. 
<br/><br/>Bibliography: pages 83-94. 
<br/><br/>  Introduction: <br/> Idiopathic rectal prolapse is a relatively common self-limiting condition in infants and <br/>children. When conservative management fails, often sclerotherapy or surgical intervention is <br/>recommended. Injection 15% hypertonic saline is one of the safe, cost effective and technically <br/>readily available sclerosants. <br/><br/> <br/><br/>Objective: <br/> To describe outcome of sclerotherapy with 15% hypertonic saline in patients with <br/>idiopathic partial rectal prolapse. <br/>Setting: <br/> Specialized Pediatric Hospital (CUSPH), Cairo university, Cairo , Egypt . <br/> Materials and Methods: <br/> We enrolled 40 patients with idiopathic partial rectal prolapse, in whom conservative <br/>management failed, including 24 males and 16 females (M: F 1:0.6). Th is study carried out for <br/>12 months from January 2023 till January 2024. The mean duration of rectal prolapse was 14.4 ± <br/>4.04 months. Under GA 15% hypertonic saline was injected submucosally at 4 anal quadrants <br/>avoiding anterior anal aspects owing to proximity with urethra or vagina. Up to two sessions <br/>were given where required and results analyzed through SPSS 21. <br/> Results: <br/> In 95% of patients’ resolution of prolapse occurred with single session of sclerotherapy. <br/>In 5% rectal prolapse resolved with two sessions of sclerotherapy. Two patients developed <br/>perianal abscess which resolved with conservative management. There was no recurrence in any <br/>patient on follow-up of at least 6 months. <br/>Conclusion: <br/> Injection 15% hypertonic saline is safe, easy to inject, cost effective sclerosing agent <br/>which could be prepared in hospital pharmacy. We found 100% success rate with up to two <br/>sessions of injections. Injection 15% hypertonic saline can be safely chosen as the sclerosing <br/>agent for idiopathic rectal prolapse in children.  
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<br/><br/><br/>Text in English and abstract in Arabic & English. 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Pediatric
<br/><br/><label>Subjects--Index Terms: </label>Idiopathic rectal prolapse  children  sclerotherapy 15% hypertonic saline  hypertonic 
<br/><br/><label>Dewey Class. No.: </label>618.92