Laparoscopic pull through for Hirschsprung′s disease in infants

Jona, Juda Z.

doi:10.4103/0971-9261.16072

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…In 1948 Swenson 1 first described the staged surgical procedure for HD. Since then the described technique continued to evolve with slight modifications till the primary laparoscopic pull-through procedure (PLPP) was described by Keith E. Georgeson in 1995 2,3 with modifications introduced in 2008 4 . .…”

Section: Introductionmentioning

confidence: 99%

Primary laparoscopic pull-through procedure for Hirschprung disease at a low resource setting: Experience and early results

Suriyarachchi

Herath

Pathirana

et al. 2012

Sri Lanka J Child Health

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Objective: To evaluate the feasibility of performing the single stage primary laparoscopic pullthrough (PLPP) surgery for Hirschprung disease (HD) to avoid the morbidity associated with traditional staged multiple surgery. Method: PLPP was performed on 12 patients with histologically diagnosed, uncomplicated HD below the age of 4 years since April 2010. Adequate bowel preparation was achieved prior to surgery. Four-port video laparoscopy was performed. The transition zone was identified with biopsies and confirmed with frozen section. Colon and rectum were mobilized close to its wall up to the pelvic floor. Rectal prolapse was induced intussuceptically and the rectum transected 2cm above the dentate line. Colon was pulled down through anus and divided at biopsy site level. Colo-anal anastomosis was performed over a rectal tube. Results: A noteworthy improvement of bowel habits and general well being was expressed by parents during follow-up assessment. Early results from our study, as well as the long-midterm results from elsewhere in the world, suggest that the PLPP is superior to the traditional staged procedure. Conclusion: PLPP is a better, safer and more effective approach of treating HD.

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Section: Introductionmentioning

confidence: 99%

Primary laparoscopic pull-through procedure for Hirschprung disease at a low resource setting: Experience and early results

Suriyarachchi

Herath

Pathirana

et al. 2012

Sri Lanka J Child Health

View full text Add to dashboard Cite

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“…The principal includes excision of the aganglionic segment including the transition zone, doing an internal sphincterotomy, and pulling down a well mobilized proximal bowel, which can also be laproscopy assisted. [ 23 ] The refinement to various techniques is to cause minimal damage to pelvic floor muscles and nerves. The recognition of diseases like intestinal neuronal dysplasia and persistence of constipation in some patients even after a correctly performed pull-through are the unresolved problems.…”

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confidence: 99%