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Rehbein's procedure for Hirschsprung's disease. An appraisal of 45 years
Insights
Rehbein's procedure is a safe and effective surgical treatment for Hirschsprung's disease (a congenital condition affecting the large intestine). This 45-year study found it yields excellent outcomes with minimal complications in pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Disorders
Background:
- Hirschsprung's disease is a congenital condition characterized by the absence of ganglion cells in the distal bowel.
- Surgical intervention is the primary treatment for Hirschsprung's disease.
- Rehbein's lower anterior resection is a surgical technique used for treating this condition.
Purpose of the Study:
- To evaluate the long-term outcomes and complication rates of Rehbein's procedure.
- To assess the efficacy of Rehbein's procedure in managing Hirschsprung's disease in children.
- To provide a comprehensive analysis based on a large cohort over 45 years.
Main Methods:
- Retrospective follow-up study design.
- Inclusion of all pediatric patients treated for Hirschsprung's disease over 45 years.
- Detailed analysis of early and late postoperative outcomes and complications.
Main Results:
- A total of 416 children underwent Rehbein's lower anterior resection.
- The study analyzed various complications including wound infection, pelvic abscess, anastomotic stenosis, enterocolitis, and incontinence.
- Excellent results with a low incidence of complications were observed.
Conclusions:
- Rehbein's procedure is a well-established and effective surgical method for treating Hirschsprung's disease.
- The procedure demonstrates excellent outcomes and a favorable safety profile in pediatric patients.
- Further review of literature supports the continued use of Rehbein's procedure.
Abstract:
A retrospective follow-up study of all children treated for Hirschsprung's disease over the last 45 years at the Department of Pediatric Surgery, Children's Hospital, Bremen was done to evaluate the results of Rehbein's procedure. A total of 416 children underwent Rehbein's lower anterior resection. The postoperative outcome was analysed in detail for early and late complications like wound infection, pelvic abscess, anastomotic stenosis, anastomotic insufficiency, postoperative enterocolitis, persistence of constipation, fecal and urinary incontinence, recurrent achalasia, need for reoperation, adhesion ileus and mortality. On the basis of the data analysed and review of literature it was concluded that Rehbein's procedure is a well-established method in the treatment of Hirschsprung's disease with excellent results and few complications.