Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

Comparing the new and old pull through surgery techniques; A randomized control trial

(2015) Comparing the new and old pull through surgery techniques; A randomized control trial. Research Journal of Pharmaceutical, Biological and Chemical Sciences.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Hirschsprung disease (HD) is the most prevalent surgical disease among children. It occurs due to lack of ganglia cells in the distal colon. The most common treatment is surgery which is performed using pull through technique. The aim of this study was to compare the new and old pull through surgery techniques. This randomized control trial was conducted in 2014 in southern Iran. HD was diagnosed by history, clinical examination, barium enema and manometry findings. Continuous sampling was used to select the participants. The age and condition severity of patients of both groups were matched. The cuffmuscle will not be damaged in the new method and duration of hospitalization, intra-operative bleeding, and surgery duration of both groups will be collected. All patients were followed up for one year to evaluate constipation, encorpresis, surgical site infection, hypertrophic scar, fecal leakage, and early or late enterocolitis. The difference between anesthesia time, number of patients who needed transfusion, or number of those who encountered constipation, early of late enterocolitis was significant. The anesthesia time, transfusion requirement, and the frequency of late enterocolitis was lower in the new method. The frequency of constipation and early enterocolitis was higher in the new method. The difference between other factors was not significant. The new trans-anal pull through method is more efficient and has better results and needs more attention and evaluation.

Item Type: Article
Additional Information: cited By 0
Keywords: anal stenosis; anesthesia; anesthesia time; anorectal pressure; Article; barium enema; blood transfusion; clinical article; clinical examination; constipation; controlled study; enterocolitis; fecal leakage; feces incontinence; Hirschsprung disease; hospitalization; human; hypertrophic scar; intermethod comparison; intestine function disorder; Iran; length of stay; medical history; operation duration; operative blood loss; pull through operation; randomized controlled trial; stenosis; surgical infection; trans anal endorectal pull through operation
Subjects: WO Surgery > WO 500-517 Operative Surgical Procedures. Techniques
Divisions: Education Vice-Chancellor Department > Faculty of Medicine > Departments of Clinical Sciences > Department of Surgery
Research Vice-Chancellor Department > Anaesthesiology, Critical Care and Pain Management Research Center
Depositing User: مهندس هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/4322

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