Gewählte Publikation:
Schleef, J; Deluggi, S; Fasching, G; Höllwarth, ME.
Transanale operation of patients with Hirschsprung's disease. Minimal-invasive technique without laparotomy - indications, results and perspectives
MONATSSCHR KINDERHEILK 2003 151: 301-305.
Doi: 10.1007/s00112-002-0582-0
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- Führende Autor*innen der Med Uni Graz
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Höllwarth Michael
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- Abstract:
- Background. In 70-80% Hirschsprung's disease is limited to the distal sigmoid colon. We present a multi-center study of a new transanal operating technique and report the related results and limitations.Patients. In a 2 year period 12 patients with Hirschsprung's disease were operated by a transanal approach. The follow-up period is 6 to 29 months.Methods. In all children the operation was performed transanally. An additional laproscopy was neccessary three times. A laparotomy was neccessary in one case due to post inflammatory adhaesions. One abscess formation required a temporary colostomy. All children were fed at the first post op day. Continence and stool frequency is normal.Discussion. The results with this new technique are very convincing and promising. We believe that this transanal technique will be the first choice in the majority of patients with Hirschsprung's disease in the future. Our experiences are comparable to those published by other groups.
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Hirschsprung's disease
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transanal approach
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minimal-invasive technique