What is Duhamel operation?

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What is Duhamel operation?

Duhamel procedure The aganglionic bowel is resected down to the rectum, and the rectum is oversewn. The proximal bowel is then brought through the retrorectal space (between rectum and sacrum), and an end-to-side anastomosis is performed with the remaining rectum.

What is Swenson procedure?

The laparoscopic Swenson pull-through procedure involves removing the aganglionic segment of the colon, bringing the normally decompressed bowel through the pelvic floor, and anastomosing the bowel to the anorectal verge.

What is Soave procedure?

Objective: Traditionally the surgical treatment of Hirschsprung’s disease (H.D.) includes preliminary colostomy in normally innervated bowel followed by one of several pull through procedures. The transanal single stage Soave procedure eliminated the need for preliminary colostomy and intraabdominal dissection.

What is anorectal myectomy?

For patients with extremely short-segment Hirschsprung disease, anorectal myomectomy is an alternative surgical option. The surgeon removes a 1-cm-wide strip of extramucosal rectal wall, beginning immediately proximal to the dentate line and extending to the normal ganglionic rectum.

What is the cause of Hirschsprung’s disease?

The condition is present at birth (congenital) as a result of missing nerve cells in the muscles of the baby’s colon. Without these nerve cells stimulating gut muscles to help move contents through the colon, the contents can back up and cause blockages in the bowel.

How long is Hirschsprung’s surgery?

The extent of the disease was rectosigmoid in 39, and the remaining were sigmoid, descending colon, and total colonic. The mean length of the surgery was 181 +/- 40 minutes.

How is Hirschsprung disease cured?

For most people, Hirschsprung’s disease is treated with surgery to bypass or remove the part of the colon that’s lacking nerve cells. There are two ways this can be done: a pull-through surgery or an ostomy surgery.

How pull-through surgery is done?

To fix intestinal obstruction caused by Hirschsprung’s disease, surgeons at Boston Children’s Hospital perform a type of surgery called a pull-through procedure. The goal of pull-through surgery is to remove the diseased section of your child’s intestine and then pull the healthy portion of this organ down to the anus.

Can Hirschsprung disease be fatal?

Hirschsprung’s disease cannot be cured on its own. It can be fatal for children who do not have surgery. After surgery, most children lead normal lives. They may have minor health problems as a result of the disease.

Is Hirschsprung serious?

Children who have Hirschsprung’s disease are prone to a serious intestinal infection called enterocolitis. Enterocolitis can be life-threatening and requires immediate treatment.

What is Swenson’s Operation for HD?

Swenson’s operation is one of the operative procedures used to treat such patients in our center. However, specific problems as recurrent constipation and faecal incontinence may occur after Swenson’s operation. Anorectal manometry is a valuable and easy procedure for diagnosis of HD.

What are the possible complications of Swenson’s Operation?

However, specific problems as recurrent constipation and faecal incontinence may occur after Swenson’s operation. Anorectal manometry is a valuable and easy procedure for diagnosis of HD.

What is the functional outcome after Swenson’s Operation for urinary incontinence?

Functional outcome after Swenson’s operation for HD may improve in some patients complaining of incontinence or constipation. Anorectal manometry may show improvement of the parameters after Swenson’s operation.

Does anorectal manometry improve functional outcome after Swenson’s Operation for hirshsprung’s disease?