[Short term evaluation of transanal pull-through with automatic suture].

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Medical Devices

Context:

• Hirschsprung's Disease (HD) is a congenital condition affecting the large intestine.
• Transanal pull-through (TP) techniques are commonly used for HD treatment in children.
• The use of autosuture in TP for HD has not been widely reported.

Purpose:

• To present the experience and short-term outcomes of using endorectal pull-through with autosuture for Hirschsprung's Disease.
• To evaluate the safety, efficacy, and complications of this modified TP technique.

Summary:

• Seven pediatric patients with rectosigmoid Hirschsprung's Disease underwent transanal pull-through using a 21 mm circular autosuture.
• The procedure involved a laparoscopic biopsy followed by the modified De La Torre technique.
• Postoperative stool passage occurred within 2-4 days, with abdominal distention as the most common complication (85.7%).

Impact:

• The autosuture technique demonstrated advantages in speed and safety for treating Hirschsprung's Disease.
• Medium-term outcomes showed good continence in most patients, with one case of rectal stricture managed conservatively.
• This method is not recommended for infants under 5 months due to autosuture size limitations.