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[Rehbein procedure for secondary megacolon in children]

R Sh Polukhov1

  • 1Azerbaijan Medical University, Baku, Azerbaijan Republic.

Khirurgiia
|November 30, 2017
PubMed

Insights

The Rehbein procedure is effective for treating secondary megacolon in children. Laparoscopic surgery offers reduced trauma and pain compared to open procedures or colon resection.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Secondary megacolon in children often results from chronic constipation resistant to conservative management.
  • Surgical intervention is considered for severe cases impacting quality of life.

Purpose of the Study:

  • To evaluate the outcomes of the Rehbein procedure with extraperitoneal colorectal anastomosis in pediatric patients with secondary megacolon.
  • To compare the effectiveness of open versus laparoscopic Rehbein procedures and traditional colon resection.

Main Methods:

  • A cohort of 78 children (aged 7-12) with chronic colostasis underwent surgical treatment.
  • Patients were divided into three groups: colon resection with intraperitoneal anastomosis (28), open Rehbein procedure (29), and laparoscopic Rehbein procedure (21).

Main Results:

  • The Rehbein procedure, particularly the laparoscopic approach, demonstrated favorable outcomes with reduced postoperative complications.
  • Colon resection followed by intraperitoneal anastomosis showed a high risk of recurrent constipation.
  • Individualized surgical selection based on colonic anatomy is crucial for long-term success.

Conclusions:

  • The Rehbein procedure is a preferred surgical option for secondary megarectum and megasigma in children.
  • Laparoscopic Rehbein procedure offers advantages of decreased surgical trauma and reduced need for postoperative analgesia.
Abstract

Keywords:
Rehbein procedurechildrenintraperitoneal colorectal anastomosislong-term resultssecondary megacolon

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