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A follow-up study on postoperative function after a transanal Soave 1-stage endorectal pull-through procedure for Hirschsprung's disease.
J Pediatr Surg. 2008 Sep; 43(9):1691-5.JP

Abstract

OBJECTIVE

The aim of the study is to appraise bowel movements in children with Hirschsprung's disease (HD) after a transanal Soave 1-stage endorectal pull-through (TAS) procedure.

METHODS

From October 2000 to October 2004, 44 patients with HD underwent a TAS procedure, 35 had a Soave operation via a laparotomy, 29 underwent a Soave procedure via laparoscopy, and 39 had an Ikeda-Soper procedure; the patients were followed up from 1 to 5 years after surgery. Evaluation of the perioperative therapeutic effect and postoperative bowel movements between the 4 groups were analyzed by Kelly's score and anorectal manometry.

RESULTS

The TAS procedure required less operative time and costs than the Soave procedure via laparotomy or laparoscopy (P < .05) and less than that of Ikeda-Soper procedure for the duration of the preoperative preparation, the duration of the surgical procedure, intraoperative blood transfusions, days of postoperative fasting, antibiotic use, and days and cost of hospitalization (P < .01). There were no differences in short-term and long-term complications between the same Soave procedures; the Soave procedure exceeded the Ikeda-Soper operation in the incidence of enterocolitis 3 months postoperatively (P < .05), but there was no difference between the TAS procedure and the Ikeda-Soper procedure. There was no difference in bowel movements 12 months postoperatively and the rectal anal inhibitory reflex, high-pressure zone length, resting anal canal pressure, and the sensation threshold 1 year postoperatively between the TAS procedure and the Ikeda-Soper procedure, but the active contractile pressure was lower after the TAS procedure than the Ikeda-Soper procedure.

CONCLUSIONS

The TAS procedure is more suitable than the Soave operation via laparotomy or laparoscopy and Ikeda-Soper procedure and is feasible in infants with short segment type and common type HD.

Authors+Show Affiliations

Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai 200032, PR China.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18779008

Citation

Huang, Yanlei, et al. "A Follow-up Study On Postoperative Function After a Transanal Soave 1-stage Endorectal Pull-through Procedure for Hirschsprung's Disease." Journal of Pediatric Surgery, vol. 43, no. 9, 2008, pp. 1691-5.
Huang Y, Zheng S, Xiao X. A follow-up study on postoperative function after a transanal Soave 1-stage endorectal pull-through procedure for Hirschsprung's disease. J Pediatr Surg. 2008;43(9):1691-5.
Huang, Y., Zheng, S., & Xiao, X. (2008). A follow-up study on postoperative function after a transanal Soave 1-stage endorectal pull-through procedure for Hirschsprung's disease. Journal of Pediatric Surgery, 43(9), 1691-5. https://doi.org/10.1016/j.jpedsurg.2007.12.053
Huang Y, Zheng S, Xiao X. A Follow-up Study On Postoperative Function After a Transanal Soave 1-stage Endorectal Pull-through Procedure for Hirschsprung's Disease. J Pediatr Surg. 2008;43(9):1691-5. PubMed PMID: 18779008.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A follow-up study on postoperative function after a transanal Soave 1-stage endorectal pull-through procedure for Hirschsprung's disease. AU - Huang,Yanlei, AU - Zheng,Shan, AU - Xiao,Xianmin, PY - 2007/10/09/received PY - 2007/12/17/revised PY - 2007/12/17/accepted PY - 2008/9/10/pubmed PY - 2009/2/12/medline PY - 2008/9/10/entrez SP - 1691 EP - 5 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 43 IS - 9 N2 - OBJECTIVE: The aim of the study is to appraise bowel movements in children with Hirschsprung's disease (HD) after a transanal Soave 1-stage endorectal pull-through (TAS) procedure. METHODS: From October 2000 to October 2004, 44 patients with HD underwent a TAS procedure, 35 had a Soave operation via a laparotomy, 29 underwent a Soave procedure via laparoscopy, and 39 had an Ikeda-Soper procedure; the patients were followed up from 1 to 5 years after surgery. Evaluation of the perioperative therapeutic effect and postoperative bowel movements between the 4 groups were analyzed by Kelly's score and anorectal manometry. RESULTS: The TAS procedure required less operative time and costs than the Soave procedure via laparotomy or laparoscopy (P < .05) and less than that of Ikeda-Soper procedure for the duration of the preoperative preparation, the duration of the surgical procedure, intraoperative blood transfusions, days of postoperative fasting, antibiotic use, and days and cost of hospitalization (P < .01). There were no differences in short-term and long-term complications between the same Soave procedures; the Soave procedure exceeded the Ikeda-Soper operation in the incidence of enterocolitis 3 months postoperatively (P < .05), but there was no difference between the TAS procedure and the Ikeda-Soper procedure. There was no difference in bowel movements 12 months postoperatively and the rectal anal inhibitory reflex, high-pressure zone length, resting anal canal pressure, and the sensation threshold 1 year postoperatively between the TAS procedure and the Ikeda-Soper procedure, but the active contractile pressure was lower after the TAS procedure than the Ikeda-Soper procedure. CONCLUSIONS: The TAS procedure is more suitable than the Soave operation via laparotomy or laparoscopy and Ikeda-Soper procedure and is feasible in infants with short segment type and common type HD. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/18779008/A_follow_up_study_on_postoperative_function_after_a_transanal_Soave_1_stage_endorectal_pull_through_procedure_for_Hirschsprung's_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(07)01029-9 DB - PRIME DP - Unbound Medicine ER -