Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/14976
ชื่อเรื่อง: Primary transanal Swenson pull-through operation for Hirschsprung's disease
ผู้แต่ง: Sookpotarom P.
Vejchapipat P.
Keywords: adolescent
article
barium enema
child
clinical article
controlled study
female
follow up
Hirschsprung disease
human
infant
male
operation duration
preschool child
priority journal
pull through operation
rectum biopsy
school child
sigmoidectomy
surgical mortality
surgical technique
Anal Canal
Anastomosis, Surgical
Child, Preschool
Colon, Sigmoid
Digestive System Surgical Procedures
Female
Hirschsprung Disease
Humans
Infant
Infant, Newborn
Length of Stay
Male
Postoperative Complications
Rectum
Retrospective Studies
วันที่เผยแพร่: 2009
บทคัดย่อ: Objective: The authors describe an experience with a newly developed technique for the treatment of Hirschsprung's disease (HD)-transanal Swenson pull-through operation (TSPT). Methods: The records of 27 children (15 males and 12 females) with HD proven on the basis of rectal biopsy or barium enema who underwent primary TSPT between November 2003 and April 2008 were retrospectively reviewed. Rectosigmoidectomy begins at the level just above dentate line in neonates and approximately 1-cm above dentate line in older children. The full-thickness dissection is performed upward around the rectum. The colon is transected above transition zone and anastomosed to the anus. All patients had postoperative pathologic proof. Data are expressed as mean and SD. Results: Mean age at operation was 29.4 ± 48.2 months (range, 1-155 months). The operative time averaged 153.5 ± 85.9 min (range, 65-400 min). There was a statistically significant difference between those younger than 1 month (107.1 ± 14.8 months) and those greater than 1 month (190.7 ± 101.1 months). None did receive blood transfusion. Average length of hospital stay was 9.1 ± 4.1 days (range, 4-21 days). Peri- and postoperative complications included anastomotic stricture (n = 6), enterocolitis (n = 3), and urethral injury (n = 1). Fecal continence (stooling frequency rate of 1-2 times per day) was noted in 70.8% (17/24) and 77.8% (14/18) at 1- and 2-year follow-up, respectively. There was no mortality in the series. Conclusions: Primary TSPT would be an alternative, safe technique in children with HD. The technique is not difficult, and associated with acceptable short-term outcomes. A long-term follow-up will be necessary to assess the real benefit of the technique. © 2009 Springer-Verlag.
URI: https://ir.swu.ac.th/jspui/handle/123456789/14976
https://www.scopus.com/inward/record.uri?eid=2-s2.0-69549102943&doi=10.1007%2fs00383-009-2428-5&partnerID=40&md5=7df1afedc1350a970df53c80098b4dd7
ISSN: 1790358
Appears in Collections:Scopus 1983-2021

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