Volume 19, Issue 3 (Jul-Aug 2011 2011)                   JSSU 2011, 19(3): 350-358 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rouzrokh M, Jalali A, Samsami M, Zirakzadeh H, Heidari A, Fallah M et al . Complications of Transanal One-stage Endorectal Pull-through Procedure in Infants with Hirschsprung's Disease. JSSU. 2011; 19 (3) :350-358
URL: http://jssu.ssu.ac.ir/article-1-1573-en.html
Abstract:   (6904 Views)
Introduction: Hirschsprung's disease(HD) is a common congenital disease. In 80% of cases, the recto sigmoid junction is involved. Recently, one-stage transanal endorectal pull-through(TAEPT) procedure has been popular, but it could have several complications. In this research, we have studied the complications of this procedure. Methods: During a four year period, 86 infants clinically suspected to have HD were admitted at our center. HD was confirmed by rectal biopsy and all were candidates for TAEPT operation. A Swenson-like procedure was performed and in 30 cases, prophylactic Hegar dilatation was done 2 weeks after operation. Results: Anal stricture was seen in 12 cases(14%) of which 10 cases were treated by anal dilation and 2 cases were corrected by surgical management. Entrocolitis was seen in 4 cases(5%) who were treated by medical management. In 2 cases, retrocolic abscess was present that was treated by spontaneous drainage via tube drain. There was no anastomotic stricture after starting prophylactic anal bouginage. Conclusion: TAEPT has many advantages and few complications. It seems that one of the most common complications is anastomotic stricture that responds well to prophylactic bouginage. We recommend prophylactic anal bouginage with Hegar probe 2 weeks after operation. A long-term follow-up is needed to evaluate the outcomes of these operations.
Full-Text [PDF 267 kb]   (2057 Downloads)    
Type of Study: Original article | Subject: General
Received: 2011/08/10

Add your comments about this article : Your username or Email:
Write the security code in the box

Send email to the article author

© 2018 All Rights Reserved | SSU_Journals

Designed & Developed by : Yektaweb