The Outcome of Transanal Anorectal Myectomy in the Patients with UltrashortSegment Hirschsprung`s Disease

Joudi, Marjan and Hiradfar, Mehran and Fathi, Mehdi and joudi, Mona (2011) The Outcome of Transanal Anorectal Myectomy in the Patients with UltrashortSegment Hirschsprung`s Disease. medical journal of mashhad university of medical sciences, 54 (2). pp. 94-99.

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Introduction Anorectal myectomy and anal dilation under anesthesia could be an effective way in the treatment of patients with ultrashortsegment Hirschprung.In this article we studied S1the outcomes of anorectal myectomy. Materials and Methods Our study group was S261 patients with the disease who had reffered to SHEIKH hospital from the second half of 1386 to the first half of 1388. Barium enema and anorectal myectomy was performed in all patientS3.Follow up after myectomy was in the second week after surgery and then monthlyS4.For the complications and results, patients were also divided in to 3 groups based on the presence or absence of ganglion cell in the muscular resectal region,and the results were compared in each S5group. Results Bleeding, infection of the operation zone, sepsis, entrocolitis, and anal stenosis was not observed in any patient after surgery. 4 patients had gas incontinence and 3 had fecal incontinence after surgery which was cured in 3-6 months with bio-feedback orders. 40 patients (87.5%) had complete remission after surgery and 2(4.17%) had partial remission and 4(8.33%) had no remission at all. Based on these results, there is no relation between gender, complications of surgery and the results of surgery. Conclusion Anorectal myectomy could be an effective treatment strategy for patients with following situations: absence of anatomical abnormalities-S6chronic constipation in spite of medical treatment-S7absence of transitional zone in barium enema-S8failure of anorectal reflex relaxation with rectal distention in anorectal manometry.

Item Type: Article
Subjects: WA Public Health
Divisions: Journals > Medical J Mashhad University of Medical Sciences
Depositing User: mjmums mjmums
Date Deposited: 03 Oct 2017 17:21
Last Modified: 03 Oct 2017 17:21

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