Why do the patients with Hirschsprung disease get redo pull-through operation?
The cause of redo included pathologic (n = 28) or anatomic problem (n = 21). Longer operation time, more complications, and TERPT were associated with redo.
What is Swenson procedure?
The Swenson procedure was the original pull-through procedure used to treat Hirschsprung disease. The aganglionic segment is resected down to the sigmoid colon and rectum, and an oblique anastomosis is performed between the normal colon and the low rectum.
What diagnostic procedure that confirm Hirschsprung’s disease?
Hirschsprung’s disease should be confirmed using rectal suction biopsy. Serial rectal irrigation should be performed before surgery to help prevent enterocolitis. Surgery is the recommended treatment for patients with Hirschsprung’s disease.
What happens after pull through surgery?
Your child will be in the hospital for several days after surgery. They will likely have mild pain from the incision. They will get medicine to help with their comfort. Your child may go to the Pediatric Intensive Care Unit (PICU) for 1-2 days after surgery to be watched.
What is endorectal pull-through?
Background: Transanal endorectal pull-through was described by De la Torre-Mondragon’s technique. In the original transanal pull-through procedure, a long rectal muscular cuff was dissected and left for anocolic anastomosis, which would sometimes lead to postoperative obstructive symptoms and enterocolitis.
What is a Soave pull-through?
Soave pull-through The Soave procedure involves resecting the mucosa and submucosa of the rectum and pulling through the normal ganglionic bowel through the aganglionic muscular cuff of the rectum.
Can a baby with Hirschsprung disease pass gas?
Newborns with Hirschsprung disease may: be unable to pass stool within the first or second day of life. have a swollen belly, bloating, or gas.
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