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Surgery Rectum fc19a451

Treatment of rectal prolapsed in childhood is:

A
Lahaut's operation
B
Incision of prolapsed mucosa
C
Thiersch wiring
D
Ripstein operation
High-Yield Explanation
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

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