What is the most common complication after one-stage transanal pull-through in infants with Hirschsprung's disease?

Pediatric Surgery International
Mohsen RouzrokhH Molaei

Abstract

Hirschsprung's disease (HD) is a relatively common congenital disease that could be suspected by clinical symptoms, abdominal plain X-ray, and finally diagnosed by rectal biopsy. In 80% cases, rectosigmoid junction is involved. Recently, one-stage transanal pull-through (TAPT) procedure has been popular and may have several complications. During a 4-year period, 86 infants (28 girls, 58 boys) with mean age 8 days (3-33) and clinically suspected to HD were admitted in our center. HD was proved by rectal biopsy. All patients after full bowel preparation and rectal washout were candidates for TAPT operation. A Swenson-like procedure was performed and the anastomosis was done between the well blood supply ganglionic colon and the rectum at 1 cm above dentate line. Interrupted suture with 5-0 Vicryl was used. Nelaton tube (12 F) inserted in the pelvis via transprineal for drainage of blood or collection. From February 2008 in 30 cases, prophylactic Hegar dilatation was performed 2 weeks after operation. Anal stricture in 12 cases (14%) was treated by anal dilation in 10 cases and 2 cases corrected by surgical management. Entrocolitis in 4 cases (5%) was treated by medical management. In two cases, retrocolic abscess had spontaneous ...Continue Reading

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Citations

Aug 23, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Stefano GiulianiPiergiorgio Gamba
Oct 29, 2018·International Journal of Colorectal Disease·Tianqi ZhuJiexiong Feng
Jun 15, 2020·Journal of Pediatric Surgery·Zhixiong LinYifan Fang

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