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Long-term evaluation of modified lateral anorectal myomectomy for low-segment Hirschsprung disease
S M Shehata1, I A El-Banna, A A Gaber
1Department of Pediatric Surgery, Sophia Children's Hospital, Rotterdam, The Netherlands. illsley@CHIS.AZR.NL
Objectives:
To provide a simple myomectomy technique for low-segment Hirschsprung disease and evaluate the efficacy of the new modification.
Design:
Case series of 19 patients followed up for 12 to 56 months (mean, 39.1 months).
Setting:
Tanta University Hospital, Tanta, Egypt.
Participants:
Nineteen patients aged 4 months to 10 years complaining of chronic constipation, with radiological and clinical data suggestive of low-segment Hirschsprung disease proven by histological examination.
Intervention:
Modified lateral anorectal myomectomy.
Main Outcome Measures:
Clinical and radiological improvement measured by postoperative barium enema, bowel habits, and patient's relief of symptoms.
Results:
Seventeen of 19 patients improved clinically and 13 showed radiological improvement 3 years postoperatively. There was poor response in 2 patients, who were subjected to further Soave procedures.
Conclusion:
Modified lateral anorectal myomectomy is an effective and technically simple procedure in patients suspected of having low-segment Hirschsprung disease.
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