Results of one Stage Transanal Resection of Large Bowel in Hirschsprung's Disease

Hiradfar, Mehran and Zabolinejad, Nona and Gharavi, Mohammad and Ashabeyamin, Mahmoudreza and Khorram, Bita (2008) Results of one Stage Transanal Resection of Large Bowel in Hirschsprung's Disease. medical journal of mashhad university of medical sciences, 51 (4). pp. 219-224.

MJMS_Volume 51_Issue 4_Pages 219-224.pdf

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Introduction Hirschsprung's disease is a developmental disorder of the enteric nervous system, characterized by functional obstruction. Absence of ganglion cells in the distal colon resulting in a functional obstruction. The aim of this study was to evaluate the results and complications of one-stage transanal endorectal pull-through (OTEPT) in the management of patients with Hirschsprung's disease. Materials and Methods A total of 40 children (31 boys and 9 girls) aged 3 days to 60 months underwent OTEPT procedure over a period of two-years at Dr. Sheikh pediatric Hospital. This study was approved by the local committee of Medical Ethics. Median follow up period was 9.10 months (range, 3 to 33 months). Results Mean operation time recorded 101.60 mins (range, 25 to 270 minutes). Hirschsprung's disease developed conventional in 55 (short segment in 30), Ultra-short in 32.5 and long segment in 12.5. Mean length of resected bowel measured 17.31 cm, 2 patients underwent laparatomy because of extension of aganglionic segment beyond the sigmoid colon. Mean NPO time and need to rectal tube after the operation were 4.35 and 4.41 days, respectively. 8 patients required urinary catheters after the operation with the mean remaining time of 3.30 days, 20 needed ICU care after surgery and mean hospital stay was 5.76 days. Post-operative complications included entrocolitis (n=2) and abdominal distension (n=1). One patient expired due to non surgical reason (heart failure). Conclusion OTEPT procedure is a safe method with low incidence of postoperative complications. In Hirschsprung's disease confined to the rectosigmoid region, the hazard and morbidities associated with laparatomy and colostomy are avoided with this technique.

Item Type: Article
Subjects: WA Public Health
Divisions: Journals > Medical J Mashhad University of Medical Sciences
Depositing User: mjmums mjmums
Date Deposited: 05 Oct 2017 15:36
Last Modified: 05 Oct 2017 15:36

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