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Outcome analysis of single-stage transanal endorectal pull through in selected patients with hirschsprung disease.
| Content Provider | Europe PMC |
|---|---|
| Author | Gandhi, Suraj Makan, Apoorva Shenoy, Neha S. Basu, Syamantak Tulsian, Akriti Shah, Hemanshi |
| Copyright Year | 2022 |
| Abstract | Background:Hirschsprung disease is a notable cause of neonatal intestinal obstruction and constipation in older children. Transanal endorectal pull through (TEPT) is a newer technique of definitive management as against staged procedures. The aim of our study is to evaluate the feasibility and outcome of the procedure in selected children with Hirschsprung disease managed by this technique with review of the literature.Materials and Methods:Medical records of 12 children who underwent single-stage TEPT in a tertiary care centre over a period of 3 years from 2015 to 2018 were reviewed and retrospectively analysed on the basis of age, investigations, intraoperative parameters, complications, functional outcome and hospital stay.Results:The median age at surgery was 9 months. Nine patients were boys. The median weight of patients was 7.5 kg. The transition zone was observed at the level of the rectosigmoid in eight patients (66.6%) and sigmoid colon in four patients (33.3%). The mean length of muscle cuff was 3 cm, the mean length of resected bowel was 25 cm, the median operative time was 105 min and the mean hospital stay was 8 days. Perianal excoriation (n = 2) and enterocolitis (n = 1) were complications encountered postoperatively; however, no patient had cuff abscess, anastomotic leak or stricture. Stool frequency initially at 2 weeks was average of six to ten times a day, which gradually reduced to two to three times a day by 3 months postoperatively. None of the patients had faecal soiling or constipation on follow-up.Conclusion:Single-stage transanal endorectal pull through is an effective technique in the management of Hirschsprung disease with minimal complications. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8759412&blobtype=pdf |
| ISSN | 01896725 |
| Journal | African Journal of Paediatric Surgery: AJPS [Afr J Paediatr Surg] |
| Volume Number | 19 |
| PubMed Central reference number | PMC8759412 |
| Issue Number | 1 |
| PubMed reference number | 34916354 |
| e-ISSN | 09745998 |
| DOI | 10.4103/ajps.ajps_137_20 |
| Language | English |
| Publisher | Wolters Kluwer - Medknow |
| Publisher Date | 2022-01-01 |
| Publisher Place | India |
| Access Restriction | Open |
| Rights License | This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Copyright: © 2022 African Journal of Paediatric Surgery |
| Subject Keyword | Colorectal hirschsprung disease paediatric transanal endorectal pull through |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery Pediatrics, Perinatology and Child Health |
