| Clinical, manometric and profilometric evaluation after surgery for Hirschsprung's disease: comparison between the modified Duhamel and the transanal rectosigmoidectomy techniques. | |
| | |
MedLine Citation:
|
PMID: 19851697 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To evaluate fecal continence, anorectal manometry (AM) and profilometry (P), in patients operated for congenital megacolon, using either the modified Duhamel technique (MDT) or the modified transanal rectosigmoidectomy (MTR) technique. METHODS: 42 patients were evaluated clinically and via AM and P, for postoperative control. The resting, coughing, voluntary contraction, maintained voluntary contraction and perianal stimulation pressures were investigated. The rectosphincteric reflex was tested and the simple and enhanced pressure curves were evaluated. The three-dimensional profilometric outline was produced. Student's t, chi-squared and Fisher's exact tests were used for statistical analysis (p<0.05). RESULTS: AM showed mean resting pressures of 53.44 mmHg for MDT and 60.67 mmHg for MTR, and mean voluntary contraction pressures of 94.50 mmHg for MDT and 95.47 mmHg for MTR. There was no statistical difference between the groups. The shapes of the simple and enhanced pressure curves did not present any statistical difference, independent of the surgical technique used. CONCLUSION: The two surgical techniques were equivalent. MDT caused greater incidence of postoperative constipation that MTR did. AM and P were shown to be excellent tests for postoperative follow-up among these patients. |
| | |
Authors:
|
Elaine Cristina Soares Martins; Fábio Luis Peterlini; Djalma José Fagundes; José Luiz Martins |
Related Documents
:
|
8831527 - Existence of a high pressure zone at the rectosigmoid junction in normal indian men. 15916627 - Facilitation of gastric compliance and cardiovascular reaction by repeated isobaric dis... 3943687 - Relationship of transient lower esophageal sphincter relaxation to postprandial gastroe... 8674367 - Anorectal function and morphology in patients with sporadic proctalgia fugax. 11168947 - Effect of severe aortic banding above the renal arteries on nitric oxide synthase isoty... 6148467 - Vasodilator therapy for primary pulmonary hypertension. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Acta cirúrgica brasileira / Sociedade Brasileira para Desenvolvimento Pesquisa em Cirurgia Volume: 24 ISSN: 1678-2674 ISO Abbreviation: Acta Cir Bras Publication Date: 2009 Sep-Oct |
Date Detail:
|
Created Date: 2009-10-23 Completed Date: 2010-11-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9103983 Medline TA: Acta Cir Bras Country: Brazil |
Other Details:
|
Languages: eng Pagination: 416-22 Citation Subset: IM |
Affiliation:
|
Division of Pediatric Surgery, Department of Surgery, UNIFESP, Sao Paulo, Brazil. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Anal Canal / anatomy & histology, physiology, surgery* Child Child, Preschool Constipation / etiology, prevention & control* Digestive System Surgical Procedures / methods Fecal Incontinence / etiology*, physiopathology Female Hirschsprung Disease / surgery* Humans Infant Male Manometry Postoperative Care Postoperative Complications Pressure Rectum / physiology, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Should complete stripping operation to the ankle be avoided in the treatment of primary varicose vei...
Next Document: Is animal experimentation fundamental?