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[АNORECTAL DYSFUNCTION, OCCURRING AFTER SURGICAL TREATMENT OF HIRSCHPRUNG’S DISEASE AND ITS CORRECTION]

R Sh Polukhov

    Klinichna Khirurhiia
    |October 2, 2018
    PubMed

    Insights

    This study analyzes 12 children with Hirschsprung

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology

    Background:

    • Hirschsprung's disease often requires surgical intervention.
    • Postoperative complications like chronic constipation and anorectal dysfunction can occur.
    • Various surgical techniques are employed for Hirschsprung's disease treatment.

    Purpose of the Study:

    • To analyze the causes and treatment of chronic constipation and anorectal dysfunction after Hirschsprung's disease surgery.
    • To evaluate the effectiveness of different surgical approaches and their complications.

    Main Methods:

    • Analysis of clinical data from 12 children operated on for Hirschsprung's disease.
    • Review of surgical procedures: Duhamel-Bairov, Soave-Lenyushkin, and Soave-Boley operations.
    • Assessment of postoperative complications and treatment outcomes.

    Main Results:

    • Postoperative constipation after Duhamel-Bairov operation was linked to colorectal septum preservation; transanal septum removal is curative.
    • Anastomotic narrowing after Soave-Boley operation resulted from lack of intraoperative myotomy and postoperative bougienage.
    • Chronic constipation/encopresis after Soave-Lenyushkin operation stemmed from residual tissue excess; transanal excision of the stenosing ring is effective.

    Conclusions:

    • Colorectal septum preservation is a key cause of constipation after Duhamel-Bairov surgery.
    • Transanal septum removal offers a radical solution for this complication.
    • Addressing anastomotic narrowing and residual tissue excess through specific surgical revisions and conservative treatment can improve outcomes.

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