evaluation of a new technique of anas tomosis in the modified duhamelmartin operation for hirschsprung's disease

نویسندگان

r moosavi from the department of general and vascular surgery and traumatology, shojuula medical center, shaheed beheshti university of medical sciences, tehran, i.r.lran.

a kalantar motamedi

چکیده

hirschsprung's disease, also known as congenital aganglionic megacolon, is a congenital disorder which develops due to an absence of neural ganglia in a segment of large bowel. most commonly, the rectum or rectosigmoid, and rarely other areas or the entire colon are involved. in this disease, all three neural plexi, i.e., the myenteric (auerbach's) plexus, the superficial submucosal (meissner's) plexus and the deep submucosal (henle's) plexus are affected, therefore peristaltic waves do not occur in involved portions of the bowel. this causes a relative stenosis in involved areas and dilatation of the prestenotic bowel with resulting chronic constipation, recurrent diarrhea, and multiple episodes of enterocolitis. this series of events eventually leads to severe weakness, failure to thrive, abdominal distention and death. the only correct and effective form of therapy for this disorder is surgery. surgical treatment can be performed by various methods, such as that proposed by swenson et al,li soave,9 duhame1,2 and rehbein and martin.4 studies have shown that martin's method has several advantages compared to other forms of surgical therapy. these are: 1/ sensation is spared throughout the entire rectum. 2/ no dissection is performed anteriorly. 3/ intraoperative bleeding is less. 4/ no catheter is required postoperatively. the modified duhamel-martin procedure which is the subject of this study has some practical benefits and less complications compared to the traditional martin operation and is therefore our recommended technique for the treatment of hirschsprung's disease.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

EVALUATION OF A NEW TECHNIQUE OF ANAS TOMOSIS IN THE MODIFIED DUHAMELMARTIN OPERATION FOR HIRSCHSPRUNG\'S DISEASE

Hirschsprung's disease, also known as congenital aganglionic megacolon, is a congenital disorder which develops due to an absence of neural ganglia in a segment of large bowel. Most commonly, the rectum or rectosigmoid, and rarely other areas or the entire colon are involved. In this disease, all three neural plexi, i.e., the myenteric (Auerbach's) plexus, the superficial submucosal (Meiss...

متن کامل

study of cohesive devices in the textbook of english for the students of apsychology by rastegarpour

this study investigates the cohesive devices used in the textbook of english for the students of psychology. the research questions and hypotheses in the present study are based on what frequency and distribution of grammatical and lexical cohesive devices are. then, to answer the questions all grammatical and lexical cohesive devices in reading comprehension passages from 6 units of 21units th...

a time-series analysis of the demand for life insurance in iran

با توجه به تجزیه و تحلیل داده ها ما دریافتیم که سطح درامد و تعداد نمایندگیها باتقاضای بیمه عمر رابطه مستقیم دارند و نرخ بهره و بار تکفل با تقاضای بیمه عمر رابطه عکس دارند

a fundamental study of "histiriographic metafiction", and "literary genres", as introduced in "new historical philosophy", and tracing them in the works of julian barnes.

abstract a fundamental study of “historio-graphic metafiction” and “literary genres”, as introduced in “new historical philosophy”, and tracing them in the works of julian barnes having studied the two novels, the porcupine and arthur & george, by julian barnes, the researcher has applied linda hutcheon’s historio-graphic metafictional theories to them. the thesis is divided into five cha...

15 صفحه اول

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
medical journal of islamic republic of iran

جلد ۱۲، شماره ۳، صفحات ۲۲۵-۲۲۸

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023