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Perfusion monitoring using laser speckle contrast imaging during endorectal pull-through for Hirschsprung's disease

Stenström, Pernilla LU ; Sheikh, Rafi LU orcid ; Granéli, Christina LU and Berggren, Johanna Vennström LU (2022) In Journal of Pediatric Surgery Case Reports 76. p.1-4
Abstract
Surgical treatment of Hirschsprung's disease commonly involves resection of the aganglionic segment of the colon and endorectal pull-through. Postoperative complications include anastomotic leakage and/or stricture, both believed to be caused by inadequate perfusion of the mobilized bowel or high tension in the anastomosis, but this has never been investigated. In this case, laser speckle contrast imaging (LSCI) was used for the first time to monitor colonic perfusion during endorectal pull-through. A 6-week-old child with a 24-cm aganglionosis underwent laparoscopic-assisted endorecto pull-through with mobilization of the left colonic flexure to be able to reach the anus. LSCI perfusion monitoring showed that perfusion was 41% in the tip... (More)
Surgical treatment of Hirschsprung's disease commonly involves resection of the aganglionic segment of the colon and endorectal pull-through. Postoperative complications include anastomotic leakage and/or stricture, both believed to be caused by inadequate perfusion of the mobilized bowel or high tension in the anastomosis, but this has never been investigated. In this case, laser speckle contrast imaging (LSCI) was used for the first time to monitor colonic perfusion during endorectal pull-through. A 6-week-old child with a 24-cm aganglionosis underwent laparoscopic-assisted endorecto pull-through with mobilization of the left colonic flexure to be able to reach the anus. LSCI perfusion monitoring showed that perfusion was 41% in the tip of the colon without tension, and was reduced 17% by a stretching force of 2 N. In conclusion, perfusion of the colonic end can be monitored by LSCI during surgery for Hirschsprung's disease. This provides new opportunities to evaluate the effects of such surgical interventions in the future. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Laser speckle contrast imaging, Assessment of anastomotic blood perfusion, Hirschsprung's disease surgery
in
Journal of Pediatric Surgery Case Reports
volume
76
article number
102142
pages
1 - 4
publisher
Elsevier
external identifiers
  • scopus:85120901462
ISSN
2213-5766
DOI
10.1016/j.epsc.2021.102142
language
English
LU publication?
yes
id
cfeb8faa-4778-44ba-a667-afd574d29b10
date added to LUP
2021-12-12 11:07:49
date last changed
2022-04-19 18:39:18
@article{cfeb8faa-4778-44ba-a667-afd574d29b10,
  abstract     = {{Surgical treatment of Hirschsprung's disease commonly involves resection of the aganglionic segment of the colon and endorectal pull-through. Postoperative complications include anastomotic leakage and/or stricture, both believed to be caused by inadequate perfusion of the mobilized bowel or high tension in the anastomosis, but this has never been investigated. In this case, laser speckle contrast imaging (LSCI) was used for the first time to monitor colonic perfusion during endorectal pull-through. A 6-week-old child with a 24-cm aganglionosis underwent laparoscopic-assisted endorecto pull-through with mobilization of the left colonic flexure to be able to reach the anus. LSCI perfusion monitoring showed that perfusion was 41% in the tip of the colon without tension, and was reduced 17% by a stretching force of 2 N. In conclusion, perfusion of the colonic end can be monitored by LSCI during surgery for Hirschsprung's disease. This provides new opportunities to evaluate the effects of such surgical interventions in the future.}},
  author       = {{Stenström, Pernilla and Sheikh, Rafi and Granéli, Christina and Berggren, Johanna Vennström}},
  issn         = {{2213-5766}},
  keywords     = {{Laser speckle contrast imaging; Assessment of anastomotic blood perfusion; Hirschsprung's disease surgery}},
  language     = {{eng}},
  pages        = {{1--4}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Pediatric Surgery Case Reports}},
  title        = {{Perfusion monitoring using laser speckle contrast imaging during endorectal pull-through for Hirschsprung's disease}},
  url          = {{http://dx.doi.org/10.1016/j.epsc.2021.102142}},
  doi          = {{10.1016/j.epsc.2021.102142}},
  volume       = {{76}},
  year         = {{2022}},
}