Transanal Endorectal Pull-Through With or Without Laparoscopic Assistance

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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 ...

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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...

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Laparoscopic assistance for primary transanal pull-through in Hirschsprung's disease: a systematic review and meta-analysis

OBJECTIVE To compare outcomes following totally transanal endorectal pull-through (TTERPT) versus pull-through with any form of laparoscopic assistance (LAPT) for infants with uncomplicated Hirschsprung's disease. DESIGN Systematic review and meta-analysis. SETTING Five hospitals with a paediatric surgical service. PARTICIPANTS 405 infants with uncomplicated Hirschsprung's disease. INTE...

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Outcome comparison among laparoscopic Duhamel, laparotomic Duhamel, and transanal endorectal pull-through: a single-center, 18-year experience.

PURPOSE Transanal endorectal pull-through has changed the treatment of Hirschsprung's disease (HD) in the past decade. The aim of the study was to compare outcomes, obtained in a single center, with laparotomic Duhamel (LTD), laparoscopic Duhamel (LSD), and laparoscopic-assisted transanal endorectal pull-through (LTEPT). MATERIALS AND METHODS We retrospectively reviewed the charts of all pati...

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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...

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ژورنال

عنوان ژورنال: Archive of Clinical Medicine

سال: 2019

ISSN: 2414-9853,2312-7007

DOI: 10.21802/acm.2019.2.8