A Nordic multicenter survey of long-term bowel function after transanal endorectal pull-through in 200 patients with rectosigmoid Hirschsprung disease

Transanal endorectal pull-through for Hirschsprung's disease.

PURPOSE A new endorectal pull-through technique using a transanal approach is presented in this report. METHODS Mucosectomy, colectomy, and pull-through are performed transanally, and neither laparotomy or laparoscopy are required. Five patients affected with Hirschsprung's disease have been operated on with this technique. CONCLUSION During the 6- to 15-month follow-up period, all of them ...

Open versus transanal pull-through for Hirschsprung disease: a systematic review of long-term outcome.

INTRODUCTION Various surgical techniques for the treatment of Hirschsprung disease (HD) have been proposed. The most relevant long-term complications of HD surgery include constipation, soiling/incontinence, enterocolitis, and anastomotic stricture. To date, there has been no randomized controlled trial evaluating the long-term outcome of OPEN surgery compared with transanal approaches with and...

Transanal endorectal pull-through for classic segment Hirschsprung's disease: with or without laparoscopic mobilization of the rectosigmoid?

BACKGROUND It has been suggested that the outcome of transanal endorectal pull-through for classic Hirschprung's disease can be improved by laparoscopically mobilizing the colon before the pullthrough. METHODS Charts of 43 patients (2005-2009) with proven recto-sigmoid aganglionosis were retrospectively analyzed with respect to postoperative outcomes. Twenty-one had been treated with the tran...

Transanal endorectal pull-through for Hirschsprung Disease – Outcome in relation to surgical approach, age and anal canal morphology

Transanal endo rectal pull-through versus trans abdominal pull-through in management of hirschsprungs disease

مقدمه: بیماری هیرشپرونگ به دلیل عدم وجود سیستم عصبی روده در بخش دیستال دستگاه گوارش ایجاد می‌شود. تظاهرات بیماری از علایم انسدادی حاد و کشنده تا یبوست مزمن متفاوت است. هدف از این مطالعه مقایسه دو روش جراحی پولترو از راه شکم (TAP) و از راه مقعد(TERPT) در درمان بیماران مبتلا به هیرشپرونگ مراجعه‌کننده به این مرکز جراحی اطفال بود. روش کار: این مطالعه از نوع کارآزمایی بالینی است. بیماران مراجعه‌کنند...