Abnormal distribution of nerve terminals in the normoganglionic bowel of Hirschsprung's disease: a causative factor of failed pull-through operations?

1994 ◽  
Vol 9 (4) ◽  
pp. 264-267 ◽  
Author(s):  
A. Yamataka ◽  
T. Miyano ◽  
T. Okazaki ◽  
M. Urao ◽  
T. Fujimoto ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Causative Factor ◽  
Nerve Terminals ◽  
Abnormal Distribution ◽  
Pull Through

scholarly journals The follow-up of the robotic-assisted Soave procedure for Hirschsprung’s disease in children

2021 ◽  
Author(s):  
Tran Anh Quynh ◽  
Pham Duy Hien ◽  
Le Quang Du ◽  
Le Hoang Long ◽  
Nguyen Thi Ngoc Tran ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Pediatric Patients ◽  
Three Dimensional ◽  
Dentate Line ◽  
Robotic Arms ◽  
Robotic Assisted ◽  
The Mean ◽  
Pull Through

AbstractRobotic surgery offers three-dimensional visualization and precision of movement that could be of great value to gastrointestinal surgeons. There were many previous reports on robotic technology in performing Soave colonic resection and pull-through for Hirschsprung’s disease in children. This study described the follow-up of the Robotic-assisted Soave procedure for Hirschsprung’s disease in children. Robotic-assisted endorectal pull-through was performed using three robotic arms and an additional 5-mm trocar. The ganglionic and aganglionic segments were initially identified by seromuscular biopsies. The rest of the procedure was carried out according to the Soave procedure. We left a short rectal seromuscular sleeve of 1.5–2 cm above the dentate line. From December 2014 to December 2017, 55 pediatric patients were operated on. Age ranged from 6 months to 10 years old (median = 24.5 months). The aganglionic segment was located in the rectum (n = 38), the sigmoid colon (n = 13), and the left colon (n = 4). The mean total operative time was 93.2 ± 35 min (ranging from 80 to 180 min). Minimal blood was lost during the surgery. During the follow-up period, 41 patients (74.6%) had 1–2 defecations per day, 12 patients (21.8%) had 3–4 defecations per day, and 2 patients (3.6%) had more than 4 defecations per day. Fecal incontinence, enterocolitis, and mild soiling occurred in three (5.4%), four (7.3%), and two pediatric patients, respectively. Robotic-assisted Soave procedure for Hirschsprung’s disease in children is a safe and effective technique. However, a skilled robotic surgical team and procedural modifications are needed.

Long-Term Outcomes and Quality of Life in Patients after Soave Pull-Through Operation for Hirschsprung's Disease: An Observational Retrospective Study

2017 ◽  
Vol 28 (05) ◽  
pp. 445-454 ◽  
Author(s):  
Tania Mahler ◽  
Martine Dassonville ◽  
Dinh Truong ◽  
Annie Robert ◽  
Philippe Goyens ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Bowel Function ◽  
Long Term Outcomes ◽  
Neurologic Impairment ◽  
Pull Through

Introduction Patients after pull-through operation for Hirschsprung's disease (HD) are at high risk of defecation disorders. This study aimed at investigating their long-term outcomes and quality of life (QoL) in comparison with controls. Patients and Methods Patients older than 5 years operated on for HD were interviewed to complete detailed questionnaires on bowel function. Patients without neurologic impairment were enrolled in a QoL survey to compare with controls matched for sex and age and selected randomly from the general population using sampling set in a ratio of four controls to one case of HD. Results In total, 53 operated patients were enrolled. Mean age of the patients was 16 ± 8 years, with 68% boys. Rectosigmoid aganglionosis was the most seen form of HD in 38 (72%) cases. Open Soave was performed in 40 (75.5%) cases, and minimally invasive surgery Soave (MIS Soave) in 13 (24.5%) cases. At investigation, prevalence of fecal incontinence and constipation were 22.6 and 13.2%, respectively. Regarding QoL survey, 45 patients and 180 controls were enrolled, excluding 8 patients with neurologic impairment. Thirty-seven (82.2%) patients were classified as having a good QoL (score ≥ 9 points); whereas six had a fair QoL (5–8 points) and two had a poor QoL (< 5 points). QoL score in the cases and the controls were 10.2 ± 2.5 and 11.9 ± 0.4 points, respectively. Long aganglionosis form of HD was significantly associated with a low QoL (score < 8 points), adjusted odds ratio = 9, 95% confidence interval [1.3; 64.1] (p < 0.05). In subscales analyses, the prevalence of each dimension including fecal continence, school absenteeism, unhappiness or anxiety, food restriction, and peer rejection was significantly higher in operated patients than in controls (p <0.001). Conclusion Although the QoL of patients operated on for HD in general was with good outcomes, fecal incontinence and constipation still are problematic issues and challenges in a high percentage of patients. Therefore, a long-term and multidisciplinary follow-up is essentially required for these patients.

Repeat pull-through for Hirschsprung's disease

1998 ◽  
Vol 33 (10) ◽  
pp. 1507-1509 ◽  
Author(s):  
Duncan T Wilcox ◽  
Edward M Kiely
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Pull Through

Transanal Coloanal Anastomosis for Hirschsprung's Disease: Comparison between Endorectal and Perirectal Pull-Through Procedures

2006 ◽  
Vol 16 (5) ◽  
pp. 312-317 ◽  
Author(s):  
E. Sapin ◽  
A. Centonze ◽  
R. Moog ◽  
J. Borgnon ◽  
F. Becmeur
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Coloanal Anastomosis ◽  
Pull Through

Enterocolitis risk factors after pull-through for hirschsprung's disease

2000 ◽  
Vol 35 (1) ◽  
pp. 153 ◽  
Author(s):  
J. Estevão-Costa ◽  
J.L. Carvalho ◽  
M. Soares-Oliveira
Keyword(s):  
Risk Factors ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Pull Through

scholarly journals Primary Laparoscopic Endorectal Colon Pull-through for Hirschsprung's Disease: Early Results of 61 Cases

2006 ◽  
Vol 29 (3) ◽  
pp. 173-175 ◽  
Author(s):  
Nguyen T. Liem ◽  
Bui D. Hau
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Early Results ◽  
Pull Through

How best to expose the entire surgical anal canal in the operative field during transanal pull-through for Hirschsprung’s disease: a crucial step that determines success

2018 ◽  
Vol 35 (2) ◽  
pp. 199-202 ◽  
Author(s):  
Atsuyuki Yamataka ◽  
Yuta Yazaki ◽  
Hiroyuki Koga ◽  
Geoffrey J. Lane ◽  
Takanori Ochi
Keyword(s):  
Anal Canal ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Operative Field ◽  
Crucial Step ◽  
Pull Through
Sign in / Sign up

Export Citation Format

Share Document