Posterior sagittal resection for rectal aganglionosis: Preliminary results of a new approach
| Autor: | Henrik Hedlund |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Rectum Anastomosis Surgical anastomosis medicine Humans Hirschsprung Disease Child Coloanal anastomosis Hirschsprung's disease Sigmoid Diseases business.industry Anorectal manometry Colostomy Infant General Medicine Anus medicine.disease Surgery Rectal Diseases medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of Pediatric Surgery. 32:1717-1720 |
| ISSN: | 0022-3468 |
| Popis: | Background: There is no general agreement about how patients who have short-segment Hirschsprung's disease should be treated. Methods: Ten patients with Hirschsprung's disease, seven with rectal and three with rectosigmoidal aganglionosis, were operated on through a posterior sagittal incision. In nine patients, a primary rectal resection and coloanal anastomosis was performed. In one patient, a longitudinal posterior myectomy of the rectum was performed as a primary procedure, but the procedure was eventually converted to a rectal resection and coloanal anastomosis through the same incision. Results: One early and one late anastomotic complication occurred. Both were successfully treated with a temporary fecal diversion (left-sided colostomy for 6 to 8 weeks). The functional results as evaluated with anorectal manometry were similar to a group of Hirschsprung's patients treated with transabdominal pull-through resection and coloanal anastomosis. Conclusion: This approach might prove to be a useful alternative both to the transabdominal resection and the posterior longitudinal rectal myectomy in Hirschsprung's disease with rectal aganglionosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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