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[Treatment of colostomy evagination in a child with Hirschsprung's disease]

V G Svarich1, V A Svarich2

  • 1St. Petersburg State Pediatric Medical University, St. Petersburg, Russia.

Khirurgiia
|July 1, 2025
PubMed

Insights

Colostomy evagination is a difficult complication after Hirschsprung

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Case Reports

Background:

  • Primary surgery for Hirschsprung's disease is often hindered by significant intestinal enlargement.
  • Colostomy is frequently required initially to normalize colon diameter.
  • Colostomy evagination affects 6.1% of patients, posing complex surgical challenges.

Purpose of the Study:

  • To present a novel surgical approach for treating colostomy evagination.
  • To describe the successful management of a challenging case in a child with subtotal Hirschsprung's disease.

Main Methods:

  • Surgical reconstruction of the evaginated colostomy.
  • Detailed case report of a pediatric patient with subtotal Hirschsprung's disease.

Main Results:

  • Successful surgical correction of colostomy evagination was achieved.
  • The presented technique offered a viable solution for a difficult complication.

Conclusions:

  • Surgical treatment can effectively address colostomy evagination in pediatric Hirschsprung's disease.
  • This case highlights a potentially successful method for managing this challenging complication.

Keywords:
Hirschsprung’s diseasecolostomyevaginationsubtotal form

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