Transanal endorectal pull-through alone as treatment of Hirschsprung's disease
Juliá, V.; Castañón, M.; Tarrado, X.; Pinzón, J.C.; Morales, L.
Cirugia Pediatrica Organo Oficial de la Sociedad Espanola de Cirugia Pediatrica 17(2): 85-88
2004
ISSN/ISBN: 0214-1221 PMID: 15285591 Document Number: 583069
The aim of this work is to present our experience in the treatment of Hirschsprung's disease (HD) with the technique described by De la Torre. Seven children diagnosed with recto-sigmoid aganglionism have been treated with this surgical technique, to which a few modifications have been done. There were no intra- nor early postoperative complications. Surgical time ranged 150 to 240 minutes (average 198). All children began oral feedings 2 or 3 days postoperatively (average 2.4). Hospital stay averaged 5.2 days. Follow-up ranges from 6 months to 3 years (average 16 months). Two late complications were seen--one anastomotic stricture and one constipation--and successfully treated as out patients. The transanal only approach carries a rapid recovery. Family satisfaction is high because of the lack of scars. We believe this is the treatment of choice when confronting rectosigmoid aganglionism.