1887
Volume 2000, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

In order to compare one-stage versus multiple-stage pull-through for Hirschsprung disease (HD) and comment on transanal pull-through without laparotomy, we reviewed 35 patients operated on for HD in the last six years. Ages ranged from 1 week to 14 years with 16 patients presenting neonatally. Sixteen patients had multiple-stage and 19 single-stage pull-through. Twenty-one patients had the Swenson procedure, five the Duhamel, seven the Soave pull-through and two the Lister Martin procedure for total colonic aganglionosis.

We conclude that the one stage pull-through is effec-tive, saves the patient multiple operations, recurring costs and long hospital stays, and also saves both the patient and family the psychological trauma of colostomy.

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/content/journals/10.5339/qmj.2000.2.9
2000-12-01
2024-03-28
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References

  1. Carcassonne M, Morisson-Lacombe G, Letourneau N. Primary corrective operation without decompression in infants less than three months of age with Hirschsprung's disease. J Pediatr Surg. 1982; 17:3:241243.
    [Google Scholar]
  2. Daniel T. Cass: Neonatal one-stage repair of Hirschsprung disease. Pediatr Surg Int. 1990; 5::341346.
    [Google Scholar]
  3. Shanbhogue LKR. A Bianchi: Experience with primary Swenson resection and pull-through for neonatal Hirschsprung disease. Pediatr Surg Int. 1990; 5::446448.
    [Google Scholar]
  4. David J Hackam, Riccardo A. Superina and Richard H Pearl: Single-stage repair of Hirschsprung's disease: A comparison of 109 patients over 5 years. J Pediatr Surg. 1997; 32:7:10281032.
    [Google Scholar]
  5. Jordan J. Weitzman: Management of Hirschsprung's disease with the Swenson procedure with emphasis on long-term follow-up. Pediatr Surg Int. 1986; 1::100104.
    [Google Scholar]
  6. Dennis W Vane, Grosfeld Jay L. Hirschsprung's disease: Experience with the Duhamel operation in 195 cases. Pediatr Surg Int. 1986; 1::9599.
    [Google Scholar]
  7. Georgeson KE, Fuenfer M M, Hardin W D. Primary laparoscopic pull-through for Hirschsprung's disease in infants and children. J Pediatr Surg. 1995; 30:7:10171022.
    [Google Scholar]
  8. De L, Torre-Mondragon La, Ortega-Salgado J A. Transanal endorectal pull-through for Hirschsprung's disease. J Pediatr Surg. 1998; 33:8:12831286.
    [Google Scholar]
  9. Langer JC, Minkes RK, Mazziotti MV, Skinner MA, Winthrop AL. Transanal one-stage Soave procedure for infants with Hirschsprunge's disease. J Pediatr Surg. 1999; 34:1:148152.
    [Google Scholar]
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  • Article Type: Research Article
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