Transanal Endorectal vs. Duhamel Pull-Through for Hirschsprung's Disease.
(2010) In European Journal of Pediatric Surgery Mar 4. p.242-246- Abstract
- INTRODUCTION: The aim of this study was to test the hypothesis that the early functional outcome for patients with rectosigmoid Hirschsprung's disease (HD) is comparable for the Duhamel pull-through procedure and the transanal endorectal pull-through (TERPT) procedure, with less discomfort for the patient postoperatively after the TERPT technique. MATERIAL AND METHODS: Eleven patients operated on with the TERPT technique (T Group) were prospectively registered and compared retrospectively with 18 patients operated on with the Duhamel pull-through (D Group). Data recorded included patient demographics, operative treatment, complications, hospital stay and bowel functions. The follow-up time was limited to 24 months. RESULTS: The T Group... (More)
- INTRODUCTION: The aim of this study was to test the hypothesis that the early functional outcome for patients with rectosigmoid Hirschsprung's disease (HD) is comparable for the Duhamel pull-through procedure and the transanal endorectal pull-through (TERPT) procedure, with less discomfort for the patient postoperatively after the TERPT technique. MATERIAL AND METHODS: Eleven patients operated on with the TERPT technique (T Group) were prospectively registered and compared retrospectively with 18 patients operated on with the Duhamel pull-through (D Group). Data recorded included patient demographics, operative treatment, complications, hospital stay and bowel functions. The follow-up time was limited to 24 months. RESULTS: The T Group started oral feeding sooner, their bowel movements started sooner and they had less need for analgesia postoperatively and a significantly shorter hospital stay. 71% of the patients in the D Group needed re-intervention compared to only 18% of the T Group. Enterocolitis was seen in two patients in both groups. At the last clinical control ten patients had constipation (59%) and three had soiling (18%) in the D Group. Three patients in the T Group had constipation (27%) and one had soiling (9%). CONCLUSION: Our results support the use of the TERPT method rather than the Duhamel pull-through for rectosigmoid HD. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1595259
- author
- Gunnarsdottir, Anna LU ; Larsson, L-T and Arnbjörnsson, Einar LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European Journal of Pediatric Surgery
- volume
- Mar 4
- pages
- 242 - 246
- publisher
- Georg Thieme Verlag
- external identifiers
-
- wos:000281926800007
- pmid:20393896
- scopus:77955902992
- pmid:20393896
- ISSN
- 1439-359X
- DOI
- 10.1055/s-0030-1252006
- language
- English
- LU publication?
- yes
- id
- e4780cff-6d54-48b1-b54d-b70a3a9faccb (old id 1595259)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20393896?dopt=Abstract
- date added to LUP
- 2016-04-04 08:33:21
- date last changed
- 2022-01-29 03:37:31
@article{e4780cff-6d54-48b1-b54d-b70a3a9faccb, abstract = {{INTRODUCTION: The aim of this study was to test the hypothesis that the early functional outcome for patients with rectosigmoid Hirschsprung's disease (HD) is comparable for the Duhamel pull-through procedure and the transanal endorectal pull-through (TERPT) procedure, with less discomfort for the patient postoperatively after the TERPT technique. MATERIAL AND METHODS: Eleven patients operated on with the TERPT technique (T Group) were prospectively registered and compared retrospectively with 18 patients operated on with the Duhamel pull-through (D Group). Data recorded included patient demographics, operative treatment, complications, hospital stay and bowel functions. The follow-up time was limited to 24 months. RESULTS: The T Group started oral feeding sooner, their bowel movements started sooner and they had less need for analgesia postoperatively and a significantly shorter hospital stay. 71% of the patients in the D Group needed re-intervention compared to only 18% of the T Group. Enterocolitis was seen in two patients in both groups. At the last clinical control ten patients had constipation (59%) and three had soiling (18%) in the D Group. Three patients in the T Group had constipation (27%) and one had soiling (9%). CONCLUSION: Our results support the use of the TERPT method rather than the Duhamel pull-through for rectosigmoid HD.}}, author = {{Gunnarsdottir, Anna and Larsson, L-T and Arnbjörnsson, Einar}}, issn = {{1439-359X}}, language = {{eng}}, pages = {{242--246}}, publisher = {{Georg Thieme Verlag}}, series = {{European Journal of Pediatric Surgery}}, title = {{Transanal Endorectal vs. Duhamel Pull-Through for Hirschsprung's Disease.}}, url = {{http://dx.doi.org/10.1055/s-0030-1252006}}, doi = {{10.1055/s-0030-1252006}}, volume = {{Mar 4}}, year = {{2010}}, }