What is a pull-through in medical terms?
From Wikipedia, the free encyclopedia. Pull-through procedure. Specialty. General surgery. A pull-through procedure is the definitive operation for Hirschsprung disease, involving the removal of the abnormal segment of bowel that has no nerves, pulling through the normal bowel and connecting it to the anus.
What is colon pull-through?
Listen to pronunciation. (KOH-loh-AY-nul PUL-throo) A surgical procedure in which the colon is attached to the anus after the rectum has been removed.
What is Abdominoperineal pull-through?
Purpose: Posterior sagittal abdominoperineal pull-through (PSAPP) was applied for the surgical treatment of Hirschsprung’s disease (HD) to decrease the incidence or eliminate the complications related to the major pullthrough procedures.
What is Duhamel pull-through?
The Duhamel procedure was first described in 1956 as a modification to the Swenson procedure. A retrorectal approach is used, and a significant segment of aganglionic rectum is retained. The aganglionic bowel is resected down to the rectum, and the rectum is oversewn.
When is Hirschsprung surgery done?
Surgeons typically perform the pull-through procedure when a child is initially diagnosed with Hirschsprung’s disease. The physician will first take one or more tissue samples (biopsy) of your child’s bowels to identify the areas of the intestine that lack ganglion cells.
What to expect after surgery for Hirschsprung’s?
Immediately following successful surgery, many children with Hirschsprung’s disease have diarrhea for weeks. Diarrhea may break down sensitive skin under the diaper, and the child recognizes intense pain after each bowel movement.
What is a leveling colostomy?
A leveling colostomy is formed at diagnosis for decompression of the dilated bowel proximal to the aganglionic segment. After an appropriate time interval, a colon pull-through is performed with either simultaneous or subsequent ostomy closure.
What is a pull through offer?
A pull through offer in marketing refers to promotional efforts of a company to attract buyers. In a marketing plan, manufacturers and wholesalers often outline both push and pull marketing strategies. A pull strategy involves generating demand in the consumer market, which causes resellers to buy and carry goods.
What is the synonym of pull through?
1 as in recover, rally. Synonyms & Near Synonyms for pull through. rally, recover.
What is the possible complication of Hirschsprung disease after surgery?
Most people who undergo surgery for Hirschsprung’s disease recover without problems. Any time a person has a general anesthesia and surgery, however, there is a possibility of complications. These include bleeding, infection or a blockage of the bowel after surgery due to scarring or other factors.
Can you still poop with Hirschsprung’s?
Most children treated surgically for Hirschsprung disease have an excellent outcome. Most can pass stool normally and have no lasting complications. A few kids might continue to have symptoms, including constipation and bowel control problems.
What is the goal of pull through surgery?
The goal of pull-through surgery is to remove the diseased section of your child’s intestine and then pull the healthy portion of this organ down to the anus. In most cases, this procedure can be done with minimally invasive techniques in a single operation.
When does a child need a pull through procedure?
Surgeons typically perform the pull-through procedure when a child is initially diagnosed with Hirschsprung’s disease. The physician will first take one or more tissue samples (biopsy) of your child’s bowels to identify the areas of the intestine that lack ganglion cells.
What causes mechanical obstruction after a pull through Operation?
The most common cause of mechanical obstruction after a pull-through operation is a stricture, which is more common after a Swenson or Soave operation than after a Duhamel procedure ( Fig. 54.9A ).
How is the ganglionic bowel pulled through surgery?
The ganglionic bowel is pulled trough the muscular sleeve and anastomosed to the mucosa of the anal canal about 1 cm above the dentate line. In the original Soave procedure a 5- to 10-cm length of bowel was left hanging beyond the anus and the anastomosis was performed by secondary trimming of the bowel.
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