Duhamel versus transanal endorectal pull through (TERPT) for the surgical treatment of Hirschsprung’s disease

Arts, Elke; Botden, Sanne M. B. I.; Lacher, Martin; Sloots, P.; Stanton, Michael; Sugarman, Ian; Wester, Tomas; Blaauw, Ivo de

doi:10.1007/s10151-016-1524-5

Cited by 19 publications

(37 citation statements)

References 42 publications

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“…The HD was first described in 1886, since than many procedures has been described for its management [1][2][3][4][5][6][7][8]. In recent years laparoscopy has evolved in the management of HD from extramucosal biopsy to primary definitive management [3].…”

Section: Discussionmentioning

confidence: 99%

“…Our choice for two stage Duhamel over soave was due to the preference of the surgeon [3,[15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…The laparoscopic Duhamel has less pain, quicker recovery, and better cosmesis because it needs minimal bowel handling, thus less postoperative paralytic ileus facilitating early resumption of enteral nutrition [3][4][5] We also found that the LADPT has excellent exposure of peritoneal cavity, and minimal pelvic dissection preserve vital pelvic structures, peroperative third space fluid loss and decreases the risk of immediate/ long term postoperative adhesive obstruction [4]. Because of excellent hemostasis achieved by vessel sealing devices during mesocolon dissection and hemostatic effect of stapler in colon transection, only five patients required perioperative blood transfusion, thus LADPT avoids the inadvertent side effects of blood transfusion also.…”

Section: Discussionmentioning

confidence: 99%

“…It is unclear if one of these techniques yields significantly better general (execution and timing of procedures) or and diseasespecific outcomes. Most of the pediatric surgeons are stick to the surgical procedures of their choice [3]. In the Duhamel procedure, a section of aganglionic rectum is left in situ and anastomosed to pulled down segment of ganglionic colon (side-to-side) as a pouch reservoir.…”

Section: Introductionmentioning

confidence: 99%

“…In the Duhamel procedure, a section of aganglionic rectum is left in situ and anastomosed to pulled down segment of ganglionic colon (side-to-side) as a pouch reservoir. Duhamel procedure has gained popularity due to technical ease, minimal anal stretching and better visibility in entire procedure [2,3]. The author has been performing the open staged Duhamel operations for HD since 20 yrs and laparoscopic assisted Duhamel pull through (LADPT) for last 2 years.…”

Section: Introductionmentioning

confidence: 99%

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" The Laparoscopic Assisted Duhamel Pull through Procedure for Hirschsprung’s Disease: Our Technique and Short Term Results "

Singh

Wakhlu

Srivastava

et al. 2017

JPNC

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Aims: To prospectively evaluate the laparoscopic assisted Duhamel pull through (LADPT) procedure for Hirschsprung's disease at our centre. Material and methods:After clinico-radiological diagnosis of Hirschsprung's disease junctional colostomy and mutltiple seromuscular biopsy was taken. After histological confirmation of diagnosis definitive surgery was done by laparoscopic assisted Duhamal procedure. Mobilization of aganglionic bawel and colon proximal to leveling colostomy was done laproscopically. The leveling colostomy taken down, bowel divided at the ganglionic segment, proximal colon pulled into retro-rectal avascular tunnel, all through the colostomy incision. Transanal stapled side to side colo-rectal anastomosis was done with rectal stump closure. Results: Mean age of surgery was 6.0±0.23 months comparable in both groups (ranged 3 m-5 yrs). Mean operative time, blood loss and hospital stay with range were 80±0.30 (70-100 minutes), 50±0.20 (40-90 ml) and 6±0.21 (3-12 days) less in LADPT cases compared with open Duhamel (p value .008, 0.0067 and .009 respectively). Per-operative one left ureteric injury occurred in LADPT. In one year of follow-up revision LADPT (for neuronal intestinal dysplasia) and reexploration due to small bowel stricture were needed in one patient each, there was one death due to fulminant enterocolitis. Conclusions:In terms of ease of mobilization of the rectum and sigmoid colon, hemostasis, shorter operative time, less analgesic requirement, early postoperative recovery and small abdominal scar LADPT is a feasible procedure for Hirschsprung's Disease with a junctional colostomy.

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Section: Discussionmentioning

confidence: 99%

“…Our choice for two stage Duhamel over soave was due to the preference of the surgeon [3,[15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

" The Laparoscopic Assisted Duhamel Pull through Procedure for Hirschsprung’s Disease: Our Technique and Short Term Results "

Singh

Wakhlu

Srivastava

et al. 2017

JPNC

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Paediatric Stoma Care

Bohr

Beyers

Mills

et al. 2023

Stoma Care Specialist Nursing: A Guide for Clinical Practice

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One-stage transanal endorectal pull-through for Hirschsprung disease: experience with 229 neonates

Zhang

Liu

et al. 2022

Pediatr Surg Int

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To evaluate the safety and e cacy of the transanal endorectal pull-through (TEPT) and the long-term outcomes in newborns with HD. MethodsA total of 229 newborns with HD underwent one-stage TEPT between 2007 and 2020, and the diagnoses were con rmed by rectal biopsy. The perioperative clinical course for all patients was reviewed, and the postoperative short-and long-term outcomes were assessed. ResultsA total of 229 neonates (187 male and 42 female) had a median age at TEPT of 17 days (range, 6-28 days). Sixty-eight patients (29.7%) underwent TEPT combined with an abdominal approach or laparoscopy. Early postoperative complications were documented in 26 patients (11.4%). The follow-up period in the remaining 165 children ranged from 1.2 to 14.0 years (median, 5.0 years), and late postoperative complications were noted in 6 patients (3.6%). A total of 106 of the patients older than four years old took part in an interview about bowel function, and 85 patients (80.2%) had a bowel function scores (BFS) ≥ 18. ConclusionTEPT is effective and safe in the treatment of neonatal HD and presents with a low rate of complications and an acceptable outcome.

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Duhamel versus transanal endorectal pull through (TERPT) for the surgical treatment of Hirschsprung’s disease

Cited by 19 publications

References 42 publications

" The Laparoscopic Assisted Duhamel Pull through Procedure for Hirschsprung’s Disease: Our Technique and Short Term Results "

" The Laparoscopic Assisted Duhamel Pull through Procedure for Hirschsprung’s Disease: Our Technique and Short Term Results "

Paediatric Stoma Care

One-stage transanal endorectal pull-through for Hirschsprung disease: experience with 229 neonates

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