Transanal endorectal pull-through for Hirschsprung’s disease using long cuff dissection and short V-shaped partially resected cuff anastomosis: early and late outcomes

Yang, Li; Tang, Shaotao; Cao, Guoqing; Yang, Ying; Li, Shuai; Li, Shiwang; Wang, Yong; Mao, Yina; Ruan, Qing; Wang, Guobin

doi:10.1007/s00383-012-3071-0

Cited by 24 publications

(17 citation statements)

References 24 publications

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“…A totally transanal ERP, on the other hand, confers excellent cosmesis [46]. The original transanal ERP described a long muscular rectal cuff that was split [47][48][49][50]. Later reports showed equally good results with a short muscle cuff without splitting, and no cuff with full-thickness plane dissection [44,48,[51][52][53].…”

Section: Level Of Evidence III Strength Of Recommendation: Strong Fomentioning

confidence: 99%

ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease

Kyrklund

Sloots

Blaauw

et al. 2020

Orphanet J Rare Dis

105

102

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Background: Hirschsprung's disease (HSCR) is a serious congenital bowel disorder with a prevalence of 1/5000. Currently, there is a lack of systematically developed guidelines to assist clinical decision-making regarding diagnostics and management. Aims: This guideline aims to cover the diagnostics and management of rectosigmoid HSCR up to adulthood. It aims to describe the preferred approach of ERNICA, the European Reference Network for rare inherited and congenital digestive disorders. Methods: Recommendations within key topics covering the care pathway for rectosigmoid HSCR were developed by an international workgroup of experts from 8 European countries within ERNICA European Reference Network from the disciplines of surgery, medicine, histopathology, microbiology, genetics, and patient organization representatives. Recommendation statements were based on a comprehensive review of the available literature and expert consensus. AGREE II and GRADE approaches were used during development. Evidence levels and levels of agreement are noted. Results: Thirty-three statements within 9 key areas were generated. Most recommendations were based on expert opinion. Conclusion: In rare or low-prevalence diseases such as HSCR, there remains limited availability of high-quality clinical evidence. Consensus-based guidelines for care are presented.

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Section: Level Of Evidence III Strength Of Recommendation: Strong Fomentioning

confidence: 99%

ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease

Kyrklund

Sloots

Blaauw

et al. 2020

Orphanet J Rare Dis

105

102

View full text Add to dashboard Cite

show abstract

“…Eighteen articles finally met the inclusion criteria and were analyzed in detail. 10,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]…”

Section: Resultsmentioning

confidence: 99%

Open Versus Transanal Pull-Through for Hirschsprung Disease: A Systematic Review of Long-Term Outcome

et al. 2013

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Introduction?Various surgical techniques for the treatment of Hirschsprung disease (HD) have been proposed. The most relevant long-term complications of HD surgery include constipation, soiling/incontinence, enterocolitis, and anastomotic stricture. To date, there has been no randomized controlled trial evaluating the long-term outcome of OPEN surgery compared with transanal approaches with and without laparoscopy (laparoscopic-assisted transanal-endorectal pull-through [L-TERPT] and transanal-endorectal pull-through [TERPT]). We performed a systematic literature review of the long-term outcome of OPEN surgery compared with L-TERPT/TERPT. Methods?Our systematic review of the recent literature (2008 to 2012) included reports on long-term outcome of either OPEN surgery or L-TERPT/TERPT with a minimum follow-up period of 12 months. With the cumulative data, a comparative meta-analysis was performed for the outcome parameters ?constipation,? ?soiling/incontinence,? ?enterocolitis,? and ?anastomotic stricture.? Results?Functional outcome of surgical techniques for HD was highly variable. We could show a significant advantage of L-TERPT/TERPT over OPEN surgery regarding the incidence of soiling/incontinence and constipation. No differences were seen for enterocolitis and anastomotic stricture. Conclusion?Significant differences in the long-term outcome of OPEN surgery compared with L-TERPT/TERPT were identified in this review. We conclude from our data that L-TERPT/TERPT represents a valid option in the treatment of HD and might have some advantages over the OPEN techniques. However, the present data should be interpreted carefully due to limitations in the quality of the study design in most reports. Prospective, randomized, multicenter trials are urgently needed to overcome this weakness of the current literature.

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“…In the transanal technique, the submucosal dissection starts just above the dentate line and originally ends at the peritoneal reflection [ 6 , 7 ]. To prevent postoperative obstruction, it was reported by several experts that they would incise the rectal cuff, which was also described by Yang et al [ 3 , 32 ].…”

Section: Discussionmentioning

confidence: 98%

Duhamel versus transanal endorectal pull through (TERPT) for the surgical treatment of Hirschsprung’s disease

et al. 2016

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For the surgical treatment of Hirschsprung’s disease, several surgical techniques are used to resect the distal aganglionic colon. Two frequently used techniques are the Duhamel procedure and the transanal endorectal pull-through procedure. During the ‘8th Pediatric Colorectal Course’ in Nijmegen, November 2015, a workshop was organized to share experiences of both techniques by several experts in the field and to discuss (long term) outcomes. Specifically, the objective of the meeting was to discuss the main controversies in relation to the technical execution of both procedures in order to make an initial assessment of the limitations of available evidence for clinical decision-making and to formulate a set of preliminary recommendations for current clinical care and future research.

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Transanal endorectal pull-through for Hirschsprung’s disease using long cuff dissection and short V-shaped partially resected cuff anastomosis: early and late outcomes

Abstract: Transanal endorectal pull-through with a long cuff dissection and a short V-shaped resected cuff anastomosis is a safe and effective procedure for HD. It reduced incidence of anastomotic stricture and constipation without an increased soiling incidence.

Cited by 24 publications

References 24 publications

ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease

ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease

Open Versus Transanal Pull-Through for Hirschsprung Disease: A Systematic Review of Long-Term Outcome

Duhamel versus transanal endorectal pull through (TERPT) for the surgical treatment of Hirschsprung’s disease

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