Document Detail

Transanal endorectal vs. Duhamel pull-through for Hirschsprung's disease.
MedLine Citation:
PMID:  20393896     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The aim of this study was to test the hypothesis that the early functional outcome for patients with rectosigmoid Hirschsprung's disease (HD) is comparable for the Duhamel pull-through procedure and the transanal endorectal pull-through (TERPT) procedure, with less discomfort for the patient postoperatively after the TERPT technique.
MATERIAL AND METHODS: Eleven patients operated on with the TERPT technique (T Group) were prospectively registered and compared retrospectively with 18 patients operated on with the Duhamel pull-through (D Group). Data recorded included patient demographics, operative treatment, complications, hospital stay and bowel functions. The follow-up time was limited to 24 months.
RESULTS: The T Group started oral feeding sooner, their bowel movements started sooner and they had less need for analgesia postoperatively and a significantly shorter hospital stay. 71% of the patients in the D Group needed re-intervention compared to only 18% of the T Group. Enterocolitis was seen in two patients in both groups. At the last clinical control ten patients had constipation (59%) and three had soiling (18%) in the D Group. Three patients in the T Group had constipation (27%) and one had soiling (9%).
CONCLUSION: Our results support the use of the TERPT method rather than the Duhamel pull-through for rectosigmoid HD.
A Gunnarsdóttir; L-T Larsson; E Arnbjörnsson
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-04-14
Journal Detail:
Title:  European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie     Volume:  20     ISSN:  1439-359X     ISO Abbreviation:  Eur J Pediatr Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-18     Completed Date:  2011-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105263     Medline TA:  Eur J Pediatr Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  242-6     Citation Subset:  IM    
Lund University Hospital, Department of Pediatric Surgery, Lund, Sweden.
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MeSH Terms
Anal Canal / surgery*
Child, Preschool
Digestive System Surgical Procedures / methods*
Endoscopy, Digestive System / methods*
Follow-Up Studies
Hirschsprung Disease / diagnosis,  physiopathology,  surgery*
Infant, Newborn
Rectum / surgery*
Retrospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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