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Related Experiment Videos

Experience with the Redo Pull-Through for Hirschsprung's Disease.

Devendra K Gupta1, Kashish Khanna1, Shilpa Sharma1

  • 1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Indian Association of Pediatric Surgeons
|January 29, 2019
PubMed
Summary

Redo pull-through (Re PT) procedures for Hirschsprung

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Research

Background:

  • Hirschsprung's disease (HD) can necessitate complex surgical interventions.
  • Redo pull-through (Re PT) procedures are sometimes required for persistent or recurrent symptoms post-initial surgery.

Purpose of the Study:

  • To evaluate the indications and outcomes of Redo pull-through (Re PT) procedures for Hirschsprung's disease (HD).
  • To identify strategies for preventing the need for Re PT in HD patients.

Main Methods:

  • Retrospective review of 167 patients who underwent surgery for HD between 1980 and 2016.
  • Analysis of 32 patients who required Re PT, examining indications and surgical approaches.

Main Results:

Keywords:
Duhamel procedureHirschsprung's diseaseScott Boley procedureSoave's procedureSwenson's procedureredo pull-through

Related Experiment Videos

  • The majority of Re PT cases followed an initial Duhamel's procedure.
  • Common indications for Re PT included residual disease, bowel retraction, strictures, and cuff issues.
  • Various surgical techniques were employed for Re PT, including diversion and different pull-through methods.

    • Conclusions:

    • Careful surgical planning, including initial diversion and appropriate diagnostic evaluations, is crucial for successful primary and redo pull-through procedures in HD.
    • Addressing factors like bowel retraction, strictures, and cuff problems can minimize the need for Re PT.
    • Experienced surgical and pathological teams are essential for optimal outcomes in managing Hirschsprung's disease.