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Related Experiment Videos

Repeat pull-through for Hirschsprung's disease

D T Wilcox1, E M Kiely

  • 1Department of Paediatric Surgery, Great Ormond Street Children's Hospital NHS Trust, London, England.

Journal of Pediatric Surgery
|November 5, 1998
PubMed
Summary
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Repeat pull-through surgery for Hirschsprung

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Hirschsprung's disease treatment may require repeat pull-through surgery due to initial procedure failure.
  • Reasons for failure include retained aganglionic segments, strictures, fistulas, or persistent incontinence.

Purpose of the Study:

  • To evaluate the outcomes of repeat pull-through procedures for Hirschsprung's disease.
  • To assess the effectiveness and complications of redo pull-through surgery.

Main Methods:

  • Retrospective review of 20 patients who underwent redo pull-through surgery between 1982 and 1996.
  • Analysis of patient demographics, operative details, complications, and functional outcomes.

Main Results:

Related Experiment Videos

  • Five postoperative complications were reported, including wound infection and anastomotic stricture.
  • Functional outcomes showed 14 of 19 patients achieved continence or minimal soiling.
  • One patient required a colostomy.

    • Conclusions:

    • Repeat pull-through surgery is a valuable option for addressing anatomical issues in Hirschsprung's disease.
    • The procedure can yield favorable functional outcomes in selected patients.