PMID: 9434007Jan 20, 1998Paper

Posterior sagittal resection for rectal aganglionosis: preliminary results of a new approach

Journal of Pediatric Surgery
H Hedlund

Abstract

There is no general agreement about how patients who have short-segment Hirschsprung's disease should be treated. Ten patients with Hirschsprung's disease, seven with rectal and three with rectosigmoidal aganglionosis, were operated on through a posterior sagittal incision. In nine patients, a primary rectal resection and coloanal anastomosis was performed. In one patient, a longitudinal posterior myectomy of the rectum was performed as a primary procedure, but the procedure was eventually converted to a rectal resection and coloanal anastomosis through the same incision. One early and one late anastomotic complication occurred. Both were successfully treated with a temporary fecal diversion (left-sided colostomy for 6 to 8 weeks). The functional results as evaluated with anorectal manometry were similar to a group of Hirschsprung's patients treated with transabdominal pull-through resection and coloanal anastomosis. This approach might prove to be a useful alternative both to the transabdominal resection and the posterior longitudinal rectal myectomy in Hirschsprung's disease with rectal aganglionosis.

Citations

Nov 2, 2004·Pediatric Surgery International·A Pini PratoV Jasonni
Mar 18, 2005·Acta chirurgica Iugoslavica·A Peña, A Hong
Jan 1, 2008·Journal of Indian Association of Pediatric Surgeons·O A Sowande, O Adejuyigbe
Aug 27, 1998·Seminars in Pediatric Surgery·A Bianchi
Mar 29, 2005·Journal of Pediatric Surgery·Nguyen Thanh LiemHoang Thanh Son
Mar 17, 2005·Seminars in Pediatric Surgery·Roshni Dasgupta, Jacob C Langer

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