Advances in pediatric surgery
- Volume 13 Issue 1
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- Pages.61-65
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- 2007
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
One-stage Repair of Neonatal Hirschsprung's Disease
신생아기 일기식 방법으로 수술한 Hirschsprung병에 대한 고찰
- Rhim, Si-Youn (Division of Pediatric Surgery, Department of Surgery, HanYang University) ;
- Jung, Poong-Man (Division of Pediatric Surgery, Department of Surgery, HanYang University)
- Received : 2006.11.29
- Accepted : 2007.05.21
- Published : 2007.06.30
Abstract
Conventional treatment of Hirschsprung's disease consists of initial colostomy followed by pull-through operation. But, the treatment of Hirschsprung's disease has been changed along with the development of new surgical technique. Since 1995, endo-GIA has been available at our hospital and one stage Duhamel operation has been performed for neonatal Hirschsprung's disease. Between May 1995 and April 2006, 26 neonates have been treated with one stage pull-through operation by one pediatric surgeon at HanYang University Hospital. The sex ratio was 4.2:1 with male predominance. Clinical findings included abdominal distension (96.2 %), vomiting (50.0 %), delayed passage of meconium (46.2 %), constipation (23.1 %), and enterocolitis (15.4 %). Twenty two cases (84.6 %) were short-segment and 4 cases (15.4 %) were long-segment disease, of which 2 cases were total colon aganglionosis. One of the two patients with total colonic aganglionosis had double transition zones - distal ileum and hepatic flexure of the colon. The average age at operation was