Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach

Abstract

The functional outcome and in particular the rate of soiling did not differ between patients operated with LEPT or TEPT.

Laparoscopic-assisted pull-through operation for Hirschsprung’s disease: a systematic review and meta-analysis

“…In the Soave group, 25.7 % experienced constipation and 81.1 % incontinence in the long term. These results appear higher than similar studies, which report constipation rates of 1.6-25 % and incontinence/soiling rates of 3.6-67 % [9,13,14].…”

“…Follow-up studies performed by the operating surgeon may evoke an amount of bias in the patients and their parents. Interestingly, a study by Stensrud et al, which used independent examiners, showed a higher rate of long-term complications than other reports [14]. Also, different scores to assess the long-term bowel function developed by various institutions makes comparison challenging [15].…”

Beginning experience with the transanal endorectal pull-through operation for the surgical treatment of Hirschsprung’s Disease

“…Teknik, erken yenidoğan döneminde bile uygulanabilmektedir (13,(16)(17)(18)(19)(20)(21)(22)(23) . Ancak, yenidoğanlarda ameliyat sonrası dermatit gelişimi açısından barsak uyumunun veya ameliyat sonrası gereksiz endişelere yol açabi-len barsak genişlemesinin normale dönmesinin daha geç olması gibi nedenlerle ameliyatın 3 aylıktan sonra yapılması da önerilmektedir (14,24) .…”

Development of Frequency of Stools over Time in Children with Hirschsprung Disease Posttransanal Endorectal One-Stage Pull-through

“…Several studies have focused on the long-term follow-up [14,15] after the pull-through operation, usually comparing different operating techniques. The focus has been on constipation and incontinence using different scoring systems [6,14,15]. The most common criticism of these studies is the lack of clear criteria for defining incontinence and constipation, that the studies rely on interviews with parents and patients or documentation of symptoms in patients' records with no clear-cut criteria of how the severity of constipation or soiling is graded or if these problems are chronic or not.…”

“…There have been no studies showing any statistically significant advantages of early versus late completion of surgery in respect to long-term stooling habits [6,15,16,17] although it is generally thought that the earlier the child has the operation the better their future stool control will be; early sensation of passage of feces through the TERPT STOOL FREQUENCY 140222TERPT stools 130918.doc2/2/20151/28/2015 8(17 anal canal should allow early re-establishment of some anorectal reflex. One study [3] shows that the younger the patients are at the time of surgery, the faster the stooling patterns recover.…”