Benefits of lap assisted trasnanal pull-through operation in the treatment of Hirschsprung's disease | ||
| Minia Journal of Medical Research | ||
| Article 50, Volume 30, Issue 3, July 2019, Pages 237-241 PDF (267.55 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.221953 | ||
| Authors | ||
| Abdelhalem Shawkat1; Mohamed Elbarbary1; Gamal S. Saleh2; Tohamy Abdallah2; Ragab Askalany2 | ||
| 1Department of Pediatric Surgery, Minia University, Faculty of Medicine, Egypt | ||
| 2Department of General Surgery, Minia University, Faculty of Medicine, Egypt | ||
| Abstract | ||
| Abstract: Aim of the Study: The aim of this study is to compare outcomes for infants with Hirschsprung's disease undergoing a TERPT procedure with those undergoing a laparoscopically assisted transanal pull-through (LAPT). Methods: Forty patients with Hirshsprung Disease were operated between January 2016 and January 2019 was reviewed. Twenty patients underwent transanal endorctal pullthrough TERPT while the other 20 patients underwent laparoscopic assisted pull through LAPT. Age at operation, presenting symptoms, operative time complications and degree of continence were evaluated. Bowel functions were assessed using the Cleveland Clinic Incontinence Score. Ethical procedures including obtaining informed consent were conducted in accordance with the ethical standards of the Committee on Human Experimentation of Minia University. Results: The mean age of the patients at the time of operation were 18.9 month for the transanal group versus 21.3 months for the laparoscopic group. The mean follow-up period was 6 month, ranging from 3 to 12 month. The rate of enterocolitis occurred in 15% of cases in transanal group versus 30% of cases in the laparoscopic group. Constipation was found in 25% of cases of TERPT group versus 10% of cases in the LAPT group. The rates of normal continence (score 0:4) was 60% vs 50% for TERPT vs LAPT respectively while the rate of severe incontinence (score 15:20) was 20% vs 5% for TERPT vs LAPT respectively. Conclusion: The functional outcomes after LAPT was satisfactory in term of fecal soiling compared to trans anal approach this may be due to less pelvic dissection comared to trans anal pull through. | ||
| Keywords | ||
| TERPT; LAPT; Hirshsprung disease; Incontinence | ||
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