Outcome of single-stage transanal endorectal pull through for short segment Hirschsprung's disease in neonates and infants.

[hirschsprung disease]

Hirschsprung 's disease (HD ) is developmental disorder of the enteric nervous system . Diagnosis can be confirmed by rectal biopsy . The surgical management of HD includes so many procedures . The purpose of this study was to evaluate the out come of single -stage transanal endorectal pull-through operation for short segment HD in neonates and infants . This prospective study was carried out in the Department of Pediatric Surgery , Dhaka Shishu (Children ) Hospital , Dhaka , Bangladesh during the period from January 2004 to December 2009 . The study included neonates & infants (age 1 day to 1 year ) of both sex , who were clinically suspected and biopsy proven HD with barium enema suggesting rectosigmoid HD . We excluded patients with short segment HD who had associated anomalies , and with hugely dilated proximal colon , operated cases with less than 6 months ' follow up . During study period , single -stage transanal endorectal pull through (TEP ) operation done in 68 neonates and infants patients (8 excluded ) of short segment HD . The mean operative time , postoperative hospital stay , followed up time were 120 minutes , 7 .94 days and 12 months respectively . Transeverse colostomy was needed in 4 patients because of anastomotic leakage and they were complicated with anastomotic stenosis , however managed by progressive dilatation . Overall parents ' satisfaction was achieved . Single -stage primary transnanl endorectal pull-through for short segment HD is feasible in neonates and infants . It preserves all the advantages of minimally invasive surgery . TEP is a better option in terms of comfort , operative success , postoperative morbidity , cosmetic appearance and parents ' satisfaction .

Diseases
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Diseases presenting "anastomotic leakage" symptom

hirschsprung disease

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