Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
권호 표지

Short-Term Outcomes of Transanal One-Stage Pull-Through Procedure for Hirschsprung's Disease

Hirschsprung 병에서 Transanal One-Stage Pull-Through 술식의 단기 성적

  • Son, Gyung-Mo (Pediatric Surgery, Department of Surgery, Pusan National University College of Medicine) ;
  • Kim, Hae-Young (Pediatric Surgery, Department of Surgery, Pusan National University College of Medicine)
  • 손경모 (부산대학교 의과대학 외과학교실 소아외과) ;
  • 김해영 (부산대학교 의과대학 외과학교실 소아외과)
  • Published : 2001.12.30
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Abstract

The aim of this study was to evaluate the short-term outcomes of the trans anal one-stage pull-through procedure(TOP) in Hirschsprung's disease. Eight patients aged 3 weeks to 8 months with Hirschsprung's disease underwent this procedure. A rectal mucosectomy was performed from just proximal to dentate line to the level of peritoneal reflexion, where muscle layer was incised circumferentially. Rectosigmoid was mobilized out through the anus, and full-thickness frozen biopsy was taken for confirmation of ganglionic cells. After the rectal muscular cuff was divided longitudinally in the posterior aspect, aganglionic bowel was removed and ganglionic colon was anastomozed to the anus. The mean operating time was 161 minutes, and the mean hospital stay after operation was 3.8 days. Five patients had three to four bowel movement per day without other therapy at mean postoperative 39.2 days. Although long-term follow-up will be required, the TOP might be the new alternative surgical procedure for Hirschsprung's disease.

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