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049			_aDeposit
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097			_aPh.D
099			_aCai01.11.28.Ph.D.2024.Be.E
100	0		_aBelal Mosaad Kamel Ibrahim Elezaby, _epreparation.
245	1	0	_aEffect of hypertonic saline injection for treatment of idiopathic partial rectal prolapse in children / _cby Belal Mosaad Kamel Ibrahim Elezaby ; Supervised Prof. Sherif Nabhan Kaddah, Prof. Wesam Mohamed Mahmoud, Dr. Mostafa Ahmed Gad, Dr. Ahmed Ezzat Abdelnabi Arafat.
246	1	5	_aتأثير الحقن بالمحلول الملحي عالي التركيز لعلاج سقوط المستقيم الجزئي مجهول السبب عند الأطفال /
264		0	_c2024.
300			_a94 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D)-Cairo University, 2024.
504			_aBibliography: pages 83-94.
520			_a Introduction: Idiopathic rectal prolapse is a relatively common self-limiting condition in infants and children. When conservative management fails, often sclerotherapy or surgical intervention is recommended. Injection 15% hypertonic saline is one of the safe, cost effective and technically readily available sclerosants. Objective: To describe outcome of sclerotherapy with 15% hypertonic saline in patients with idiopathic partial rectal prolapse. Setting: Specialized Pediatric Hospital (CUSPH), Cairo university, Cairo , Egypt . Materials and Methods: We enrolled 40 patients with idiopathic partial rectal prolapse, in whom conservative management failed, including 24 males and 16 females (M: F 1:0.6). Th is study carried out for 12 months from January 2023 till January 2024. The mean duration of rectal prolapse was 14.4 ± 4.04 months. Under GA 15% hypertonic saline was injected submucosally at 4 anal quadrants avoiding anterior anal aspects owing to proximity with urethra or vagina. Up to two sessions were given where required and results analyzed through SPSS 21. Results: In 95% of patients’ resolution of prolapse occurred with single session of sclerotherapy. In 5% rectal prolapse resolved with two sessions of sclerotherapy. Two patients developed perianal abscess which resolved with conservative management. There was no recurrence in any patient on follow-up of at least 6 months. Conclusion: Injection 15% hypertonic saline is safe, easy to inject, cost effective sclerosing agent which could be prepared in hospital pharmacy. We found 100% success rate with up to two sessions of injections. Injection 15% hypertonic saline can be safely chosen as the sclerosing agent for idiopathic rectal prolapse in children.
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		7	_aPediatric _2qrmak
653		0	_aIdiopathic rectal prolapse _achildren _asclerotherapy 15% hypertonic saline _ahypertonic
700	0		_aSherif Nabhan Kaddah _ethesis advisor.
700	0		_aWesam Mohamed Mahmoud _ethesis advisor.
700	0		_aMostafa Ahmed Gad _ethesis advisor.
700	0		_aAhmed Ezzat Abdelnabi Arafat _ethesis advisor.
900			_b01-01-2024 _cSherif Nabhan Kaddah _cWesam Mohamed Mahmoud _cMostafa Ahmed Gad _cAhmed Ezzat Abdelnabi Arafat _UCairo University _FFaculty of Medicine _DDepartment of Pediatric Surgery
905			_aShimaa
942			_2ddc _cTH _e21 _n0
999			_c172133