RT Journal Article SR Electronic T1 Successful treatment of recurrent rectal prolapse using three Thiersch sutures in children JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2015211947 DO 10.1136/bcr-2015-211947 VO 2015 A1 Chauhan, Kashif A1 Gan, Richard Wei Chern A1 Singh, Shailinder YR 2015 UL http://casereports.bmj.com/content/2015/bcr-2015-211947.abstract AB Many techniques are described to manage recurrent rectal prolapse in children, including repeated Thiersch stitch, phenol injections, Delorme and Altemeier procedures, and rectopexy. We describe a case of successful treatment of rectal prolapse by placing three Thiersch sutures circumferentially along the anal canal—a simple and novel modification of a well-known procedure. An 8-year-old boy with full-thickness rectal prolapse was treated with laxatives to no avail. He was subsequently treated with phenol-in-almond-oil injection and insertion of a 1/0PDS Thiersch suture. The effects were temporary with recurrence 3 months later. A further phenol-in-almond-oil injection was given and a 1/0PDS Thiersch suture placed, and the patient was discharged on laxatives. Recurrence occurred again at 3 months. This was treated with three circumferential Thiersch sutures along the anal canal—one Prolene 2/0 and two 1/0PDS. There has been no recurrence at follow-up. Placement of three sequential Thiersch sutures along the rectum is effective in treating recurrent rectal prolapse and a good alternative to major rectopexy.