Document Detail

Rehbein's procedure in 73 cases of Hirschsprung's disease.
MedLine Citation:
PMID:  15560696     Owner:  NLM     Status:  MEDLINE    
The principle for treatment of Hirschsprung's disease by Rehbein's procedure is to remove the aganglionic narrow segment including the dilated sigmoid colon by dissection of the upper rectum deep down into the pelvic cavity about 2 cm from peritoneal reflection and to elimination of the achalasia of internal anal sphincter by vigorous dilatation. Between August 1987 and April 2000, 73 cases of Hirschsprung's disease (50 boys and 23 girls) were operated on by Rehbein's procedure at the Pediatric Surgical Unit, Ratchaburi Hospital. The age varied from 7 months to 10 years. 55 cases showed very good results by daily stool evacuation without any help, occasional laxative or enema in 15 cases, giving laxative or enema regularly in 2 cases and no adequate bowel evacuation despite giving laxative or enema in I case. In conclusion, Rehbein's procedure is technically simple and has good results. It should be another treatment of choice for Hirschsprung's disease.
Somchai Thepcharoennirund
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  87     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-11-24     Completed Date:  2005-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  1188-92     Citation Subset:  IM    
Pediatric Surgical Unit, Department of Surgery, Ratchaburi Hospital, Ratchaburi 70000, Thailand.
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MeSH Terms
Child, Preschool
Colectomy / methods*
Colon, Sigmoid / surgery
Follow-Up Studies
Hirschsprung Disease / surgery*
Rectum / surgery
Retrospective Studies
Treatment Outcome

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