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Related Experiment Videos

Reoperations in Hirschsprung disease.

Alberto Peña1, Mehmet Elicevik, Marc A Levitt

  • 1Department of Pediatric Surgery, Colorectal Center for Children, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA. alberto.pena@cchmc.org

Journal of Pediatric Surgery
|June 15, 2007
PubMed
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Complications from Hirschsprung disease surgery, such as strictures and fistulas, are often preventable. Anal canal damage can lead to fecal incontinence, highlighting the need for careful surgical technique.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Hirschsprung disease requires surgical intervention.
  • Complications can arise from primary surgical procedures.
  • Reoperation is sometimes necessary to address these complications.

Purpose of the Study:

  • To identify the causes of preventable complications after surgery for Hirschsprung disease.
  • To analyze factors contributing to reoperation in patients with Hirschsprung disease.

Main Methods:

  • Retrospective review of 51 patients with Hirschsprung disease requiring reoperation.
  • Analysis of initial surgical procedures, complications, and outcomes after reoperation.

Main Results:

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  • Most patients (35/51) had one failed primary operation.
  • Common indications for reoperation included stricture (21), megarectal pouches (12), and fistulae (11).
  • Post-reoperation outcomes varied, with 14 patients achieving continence and 11 remaining with a stoma.

Conclusions:

  • Stricture, megarectal pouch, fistula, and retained aganglionic bowel are preventable complications.
  • Enterocolitis is partially preventable, even after technically sound procedures.
  • Fecal incontinence is likely preventable and associated with anal canal damage.