Repeated pull-through surgery for complicated Hirschsprung's Disease—principles derived from clinical experience

Schweizer, Paul; Berger, Steffen; Schweizer, Michael T.; Holschneider, A. M.; Beck, Ottmar

doi:10.1016/j.jpedsurg.2006.10.058

Cited by 33 publications

(30 citation statements)

References 26 publications

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“…Residual aganglionosis and transition-zone pullthroughs, as indications for reoperations in patients with HD, have been reported (Table 1) [1,2,[4][5][6][7][8][9][10][11][12]. We believe that this complication is preventable.…”

mentioning

confidence: 85%

Redo pull-through in Hirschprung's disease for obstructive symptoms due to residual aganglionosis and transition zone bowel

Lawal

Chatoorgoon

Collins

et al. 2011

Journal of Pediatric Surgery

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confidence: 85%

Redo pull-through in Hirschprung's disease for obstructive symptoms due to residual aganglionosis and transition zone bowel

Lawal

Chatoorgoon

Collins

et al. 2011

Journal of Pediatric Surgery

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“…13 We cannot ascertain from our data whether the continued popularity of the Duhamel pull-through in the UK is region-specific or whether surgeons within the same institution routinely employ different approaches. Continued exposure to this technique is potentially useful as it is a popular approach in revisional surgery, 20 and most respondents in this survey utilise this technique in right sided/total colonic disease.…”

Section: Discussionmentioning

confidence: 99%

Evolution in the management of Hirschsprung’s disease in the UK and Ireland: a national survey of practice revisited

Bradnock

Walker

2011

annals

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INTRODUCTION The management of Hirschsprung’s disease continues to evolve. This questionnaire survey aimed to determine current surgical management strategies for Hirschsprung’s disease in Britain. SUBJECTS AND METHODS The survey was sent electronically to all British paediatric surgeons. Initial questions explored individual experience and regional service provision. Additional questions, reserved for surgeons who perform definitive Hirschsprung’s disease surgery, addressed specific clinical scenarios. RESULTS Surveys were sent to 142 surgeons yielding 85 responses. After exclusions, 64 surveys from 21 centres were analysed. Forty-seven respondents worked in centres with designated ‘Hirschsprung’s disease surgeons’. Forty respondents perform definitive Hirschsprung’s disease surgery. In a well neonate with left-sided Hirschsprung’s disease, 34 of 40 surgeons favour primary pull-through following bowel decompression with rectal washouts; 35 of 40 surgeons aim to perform definitive surgery at less than 3 months of age, with 17 favouring laparoscopic-assisted Soave–Boley and 15 favouring an open Duhamel pull-through. Of the 40 surgeons, 36 use a staged approach to right-sided/total colonic Hirschsprung’s disease with 23 favouring a Duhamel or Long Duhamel pull-through. CONCLUSIONS The primary pull-through, using an open Duhamel or laparoscopic-assisted Soave–Boley technique, during the first 3 months of life, has become the operative strategy of choice in rectosigmoid Hirschsprung’s disease in Britain. Marked variation in practice remains for right-sided Hirschsprung’s disease.

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“…but a percentage of patients will ultimately require a redo pull-through [9][10][11][12][13][14][15][16][17][18][19].…”

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confidence: 99%

Redo surgery in Hirschsprung disease: what did we learn? Unicentric experience on 70 patients

Prato

Mattioli

Giunta

et al. 2010

Journal of Pediatric Surgery

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Repeated pull-through surgery for complicated Hirschsprung's Disease—principles derived from clinical experience

Cited by 33 publications

References 26 publications

Redo pull-through in Hirschprung's disease for obstructive symptoms due to residual aganglionosis and transition zone bowel

Redo pull-through in Hirschprung's disease for obstructive symptoms due to residual aganglionosis and transition zone bowel

Evolution in the management of Hirschsprung’s disease in the UK and Ireland: a national survey of practice revisited

Redo surgery in Hirschsprung disease: what did we learn? Unicentric experience on 70 patients

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