Transanal one-stage endorectal pull-through for Hirschsprung disease: experiences with 51 newborn patients

Vu, Pham Anh; Thien, Ho Huu; Hiep, Pham Nhu

doi:10.1007/s00383-010-2599-0

Cited by 27 publications

(24 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This was probably due to more adhesion resul ng from recurrent enterocoli s and bigger vessels in older children. The opera ve me of our series is comparable with several other studies 7,8,9 .…”

Section: Discussionsupporting

confidence: 91%

“…There were no complica ons like cuff abscess, prolapse or retrac on of pulled through colon, adhesive bowel obstruc on as reported in other series 9,23 .…”

Section: Discussionsupporting

confidence: 60%

“…Many reports have been published since then from diff erent parts of the world. The safety, feasibility, reproducibility and less invasiveness of the procedure made it popular in recent years 9,14,15,16,17,18 . Ini al submucosal dissec on was slow and diffi cult.…”

Section: Discussionmentioning

confidence: 99%

“…TEPT represents the latest development in the concept of minimally invasive surgery for short segment HD. Laparoscopy or mini-laparotomy can be incorporated in case of long segment HD 9,10 . The aim of this study is to evaluate the effi cacy and safety of single-stage TEPT for rectosigmoid HD in diff erent pediatric age group in our setup.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Early Experience With Single-Stage Transanal Endorectal Pull Through For Rectosigmoid Hirschsprung’s Disease

Shrestha

Sherchan

Dhoubhadel

et al. 2015

J. Nepal Paedtr. Soc.

View full text Add to dashboard Cite

Introduction: Recent trends in surgery for Hirschsprung's disease (HD) have been towards earlier operation and fewer surgical stages. A single-stage transanal endorectal pull through (TEPT) is the latest development and minimally invasive technique for HD. This observational prospective study was designed to evaluate the safety and efficacy of single-stage TEPT technique in the management of rectosigmoid HD. Materials and Methods: Infants and children with biopsy-proved aganglionosis and barium enema (BE) documented rectosigmoid HD were included for single stage TEPT. Twenty children aged 22 days to 7 years (17 boys and 3 girls) underwent one stage TEPT over 5 year period. Median follow up was 18 months (range 6-36 months). These patients were evaluated with regard to age, sex, intraoperative details, postoperative functional outcome and complications and need for secondary surgical procedure. Results: The operating time was 105-180 minutes (mean 120 minutes). The length of resected bowel was 18-30 cm (mean 25 cm). Intraoperative blood loss was 5-40 ml, less in infants compared to older children. Blood transfusion was needed in none out of 12 infants and 2 out of 8 older children. Transient perianal excoriation occurred in 16 patients. Postoperative enterocolitis occurred in one patient. One patient developed constipation with encopresis following anastomotic stricture. None had adhesive obstruction and prolapse of pulled through colon, one required colostomy for anastomotic leakage and peritonitis while another had retained aganglionic segment and re-do pull through was required. Conclusion: Single-stage TEPT can be performed successfully in all age of children. The technique is safe, easily learned and has good clinical results.

show abstract

Section: Discussionsupporting

confidence: 91%

“…There were no complica ons like cuff abscess, prolapse or retrac on of pulled through colon, adhesive bowel obstruc on as reported in other series 9,23 .…”

Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Early Experience With Single-Stage Transanal Endorectal Pull Through For Rectosigmoid Hirschsprung’s Disease

Shrestha

Sherchan

Dhoubhadel

et al. 2015

J. Nepal Paedtr. Soc.

View full text Add to dashboard Cite

show abstract

“…언제 수술을 시행하는 것이 좋은지에 대해서는 신생아기 에 수술하면 점막하층의 박리가 그 이후에 시행하는 것보다 쉬우며 [6], 수술시간이 짧고, 출혈이 적다는 연구가 있다 [9]. 또한 좀 더 성장이 된 후 수술을 시행하려고 기다리는 동안 장염이 생기는 기회가 많아지고, 장의 길이가 길어지기 때문 에 신생아기에 빨리 수술하는 것이 좋다고 보고한 연구 결과 도 있다 [7,10].…”

unclassified

Single Stage Transanal Endorectal Pull-through Operation for Hirschsprung’s Disease in Neonate: A Single Center Experience

Lee

Choi

Namgung

et al. 2016

J Korean Assoc Pediatr Surg

View full text Add to dashboard Cite

Purpose:The single stage transanal pull-through (SSPT) for Hirschsprung's disease is becoming the most popular procedure. This single center study compared the result of single stage operation with two-stage operation for Hirschsprung's disease in neonates. Methods: We retrospectively reviewed medical records of all patients who were diagnosed as Hirschsprung's disease and underwent SSPT or two-stage operation operation in Asan Medical Center between January 2003 and July 2014. Results: There were 17 SSPT and 28 two-stage operation. The mean age of SSPT group was 14.2±7.1 days, and the mean age of two-stage operation group was 15.4±8.6 days for stomy formation, and 188.6±36.3 days for Duhamel operation. The operation time of SSPT was shorter than Duhamel operation (145.0±37.0 minutes vs. 193.0±36.0 minutes, p＜0.001). The mean follow-up period of SSPT and two-stage operation was 35.5±34.9 months (range, 2-132 months) and 56.6±35.5 months (range, 1-121 months), respectively. Defecation problem rate such as fecal soiling or fecal impaction showed no significant difference between the two groups (p=0.719). Two SSPT patients required botulinum toxin injection due to rectal stenosis. Three patients of SSPT group underwent re-do endorectal pull-through due to remnant aganglionic or hypoganglionic bowel. Conclusion:The SSPT showed shorter hospital days. However, few patients experienced rectal stenosis, but were manageable with botulinum toxin injection. The SSPT requires experienced-pathologist, as well as surgeon, because intra-operation pathology reading is critical for appropriate SSPT. SSPT is a feasible and reasonable option to treat Hirschsprung's disease.

show abstract

Residual aganglionosis after pull-through operation for Hirschsprung’s disease: a systematic review and meta-analysis

Friedmacher

Puri

2011

Pediatr Surg Int

View full text Add to dashboard Cite

show abstract

Transanal one-stage endorectal pull-through for Hirschsprung disease: experiences with 51 newborn patients

Abstract: Our data suggested that TOSEPT is efficacious and safe in the management of newborn with HD.

Cited by 27 publications

References 10 publications

Early Experience With Single-Stage Transanal Endorectal Pull Through For Rectosigmoid Hirschsprung’s Disease

Early Experience With Single-Stage Transanal Endorectal Pull Through For Rectosigmoid Hirschsprung’s Disease

Single Stage Transanal Endorectal Pull-through Operation for Hirschsprung’s Disease in Neonate: A Single Center Experience

Residual aganglionosis after pull-through operation for Hirschsprung’s disease: a systematic review and meta-analysis

Contact Info

Product

Resources

About