scholarly journals Assessment of functional outcome in patients of Hirschprung’s disease following two stages Duhamel pull through

2018 ◽  
Vol 4 (2) ◽  
pp. 54-62
Keyword(s):  
Functional Outcome ◽  
Pull Through ◽  
Two Stages ◽  
Hirschprung's Disease

scholarly journals A Case Report on 2 years Child: Hirschprung’s Disease

2021 ◽  
pp. 558-564
Author(s):  
Anushri Kale ◽  
Aditi Badwaik ◽  
Pallavi Dhulse ◽  
Archana Maurya ◽  
Bibin Kurian
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Ganglion Cells ◽  
Past History ◽  
Rectal Biopsy ◽  
Case Presentation ◽  
Surgical History ◽  
History Of ◽  
Pull Through ◽  
Hirschprung's Disease

Introduction: Hirschsprung's disease is the most common cause of large intestinal obstructing in neonates. Hirschsprung's disease is a congenital anomaly caused by migratory failure of neural crest cells leading to abnormal innervations of the bowel .The defect begins in the internal and sphincter and extends proximally for a variable length of gut. Hirschprung's disease is a disorder of the gut caused due to congenital absence of ganglion cells in the sub-mucosal and myenteric plexus of intestine. This disease is also known as megacolon or congenital Aganglionic megacolon. Case presentation: A 2 years old male child, known case of Hirschprung’s disease, was brought to AVBRH for further management. As narrated by the mother, the child was not passing stool since birth. There was no history of abdominal distention, vomiting or fever. The child pass the stool with the help of enema which was given to the child in the morning and evening. Mast. Devansh has past history of NICU stay. In View of not passing stools, USG of abdomen and pelvis done. Endorectal pull through surgery was done on 4/02/2021 under general anesthesia. No any past surgical history. There is a past history of rectal biopsy done in 1 1/2 month of age. Conclusion:The patient was admitted in AVBRH for further management. Then the report mainly focused on surgical management and quality nursing care due to which patient was discharged without any further complication and satisfaction.

Redo pull-through in Hirschprung's disease for obstructive symptoms due to residual aganglionosis and transition zone bowel

2011 ◽  
Vol 46 (2) ◽  
pp. 342-347 ◽  
Author(s):  
Taiwo A. Lawal ◽  
Kaveer Chatoorgoon ◽  
Margaret H. Collins ◽  
Alex Coe ◽  
Alberto Peña ◽  
...  
Keyword(s):  
Transition Zone ◽  
Pull Through ◽  
Hirschprung's Disease

Laparoscopic-assisted pull-through for Hirschsprung's disease, a prospective repeated evaluation of functional outcome

2013 ◽  
Vol 48 (12) ◽  
pp. 2536-2539 ◽  
Author(s):  
Anna Löf Granström ◽  
Britt Husberg ◽  
Agneta Nordenskjöld ◽  
Pär-Johan Svensson ◽  
Tomas Wester
Keyword(s):  
Functional Outcome ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Pull Through ◽  
Laparoscopic Assisted ◽  
Repeated Evaluation

scholarly journals Arthroscopy pull through for management of eminentia tibia fracture in 15 years old adolescent: a case report

2020 ◽  
Vol 8 (12) ◽  
pp. 4476
Author(s):  
Anak Agung Gde Duta Maha Putra ◽  
Made Agus Maharjana
Keyword(s):  
Functional Outcome ◽  
Cruciate Ligament ◽  
Weight Bearing ◽  
Left Knee ◽  
Tibia Fracture ◽  
Full Weight Bearing ◽  
Full Extension ◽  
Multiple Treatment ◽  
Tibial Eminence ◽  
Pull Through

Tibial eminence fractures are rare injuries. Multiple treatment techniques are described and there is a lack of consensus with regard to the choice of treatment. In this case, we present the left eminentia tibia fracture which stabilized using arthroscopy pull through technique in a 15 years old male adolescent. A male 15 years old adolescent complained of pain on his left knee after climbing a tree and jumped with his left knee in hyperextention. On physical examination, tenderness was felt around the apex of patella. Left knee X-Ray confirmed a fracture of eminentia tibia. On arthroscopic evaluation, there was a fracture of medial eminentia tibia meyers and mckeever IIIA. The fractures were treated by using 1 mm ethibond which was inserted through the anterior cruciate ligament and pull through the tibia plateau. 10 weeks evaluation after the procedure, patient was able to walk independently with full weight bearing and was able to flex his knee in 130˚ and full extension without any pain. Management of displaced fracture of eminentia tibia is somewhat controversial and the ideal method of fixation has not been defined. In this patient, there were perfect anatomic and functional outcome without any serious complication. Arthroscopic reduction and internal fixation by pull through suture provide perfect anatomic and functional outcome for displaced type II and type III tibial eminence fracture.

scholarly journals Transanal one-stage endorectal technique for Hirschprung's disease: A preliminary report of 24 cases from a single institution

2009 ◽  
Vol 56 (1) ◽  
pp. 109-113 ◽  
Author(s):  
D.D. Jovanovic ◽  
V.A. Milojkovic ◽  
Z.M. Stevanovic ◽  
M.M. Vukadin
Keyword(s):  
Postoperative Complications ◽  
Preliminary Report ◽  
Minimal Invasive Surgery ◽  
Surgical Techniques ◽  
Minimal Invasive ◽  
Single Institution ◽  
Conventional Surgery ◽  
Pull Through ◽  
Laparoscopic Assisted ◽  
Hirschprung's Disease

Numerous surgical techniques for Hirschprung's disease have been developed and modified, being associated with extensive surgical procedures involving laparotomy, resection of affected segment of colon and descensus of the functional bowel to the anus. Conventional surgery was followed by complications, although the incidence of early and late postoperative complications has significantly decreased. Transanal mucosectomy was practiced as a part of conventional and laparoscopic assisted pull through procedures. The latest promising achievement is entirely transanal pull-through procedure, described by De la Tore-Mondragon and Ortega-Salgado: entirely transanal endorectal pull-through, thus avoiding both laparotomy and laparoscopy. Due to minimal invasive surgery it offers excellent results. During a five year period (2003-2008), 24 patients were operated with this technique. The recovery was uneventful in all patients. This study adds valuable information of meticulous details of the new, still developing technique with the emphasis on controversies about surgical complications reported in multicentric studies. .

Paediatrician’s Suspicion and Radiologist’s Precision in Diagnosing Hirschprung’s Disease in a Child: Case Report

2020 ◽  
Vol 10 (2) ◽  
pp. 38-41
Author(s):  
Shashi Sharma ◽  
Tanu Singh ◽  
Rohit Sharma ◽  
Vinod Bende ◽  
Praveen Gulia ◽  
...  
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Delayed Diagnosis ◽  
Hirschsprung Disease ◽  
Abdominal Distension ◽  
Plain Radiography ◽  
Motor Disorders ◽  
Short Segment ◽  
Pull Through ◽  
Hirschprung's Disease

Hirschprung’s disease (HD) is also called as aganglionic megacolon. The entity falls in the group of congenital motor disorders. The usual presentation is in the form of not passing of meconium, abdominal distension with or without vomiting. We present a 2-years old child who was brought with complaints of constipation and difficulty in passing stool. The child was evaluated radiologically by plain radiography, ultrasonography (USG) and barium enema and was diagnosed as a case of short segment type of Hirschsprung disease. The parents had been counselled and advised for pull-through surgery for the child. It is a dilemma for the paediatrician to confirm the diagnosis of Hirschprung’s disease until a radiologically confirmed diagnosis is made. Many cases are delayed for the treatment because of non-diagnosis or delayed diagnosis. The importance lies in the early diagnosis for further surgical management.

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