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Selected Publication:
Höllwarth, ME; Rivosecchi, M; Schleef, J; Deluggi, S; Fasching, G; Ceriati, E; Ciprandi, G; DePeppo, F.
The role of transanal endorectal pull-through in the treatment of Hirschsprung's disease - a multicenter experience.
Pediatr Surg Int. 2002; 18(5-6):344-348
Doi: 10.1007/s00383-002-0747-x
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- Leading authors Med Uni Graz
- Höllwarth Michael
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- Abstract:
- The transanal approach (TAA) is a new technique for surgery of Hirschsprung's disease (HD) that was introduced by de la Torre in 1998. The purpose of this multicenter study, including experience from three Austrian and one Italian departments of peadiatric surgery, was to evaluate the role of this approach in HD in 18 children aged 1-72 months. In 14 children the TAA only was performed; in 3 an additional laparoscopy was performed and in 1 conversion to a laparotomy was necessary. One complication (abscess) occurred after laparoscopic-assisted pull-through. The postoperative recovery was rapid, no severe long-term problems were observed. The transanal pull-through technique is generally possible in most classic cases of HD with extension of the disease to the sigmoid colon. If necessary, it can be combined with laparoscopy. Our preliminary results show that the technique is safe, less invasive, and gives excellent cosmetic results, and allows rapid recovery. Long-term results are still pending.
- Find related publications in this database (using NLM MeSH Indexing)
- Child -
- Child, Preschool -
- Colectomy - methods
- Colostomy -
- Female -
- Hirschsprung Disease - surgery
- Humans -
- Infant -
- Laparoscopy -
- Male -
- Find related publications in this database (Keywords)
- Hirschsprung's disease
- transanal pull-through
- surgical technique