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Revista Cubana de Pediatría

versión impresa ISSN 0034-7531

Resumen

HERNANDEZ ALFONSO, Hermes Daniel; VIALAT SOTO, Vivian; LABRADA ARJONA, Eduardo  y  NAVARRO SOMBERT, Ana Barbarita. Clinical evolution of patients with Hirschsprung's disease operated on by transanal techniques. Rev Cubana Pediatr [online]. 2012, vol.84, n.3, pp.216-224. ISSN 0034-7531.

Introduction: the surgical treatment of Hirschsprung's disease has positively evolved since 1998 when De la Torre Mondragón described his totally transanal endorectal pull through technique. Nevertheless, these technical variants are relatively new and little has been said about the postoperative evolution and the continence status of the surgical patients. Methods: an observational descriptive study of 43 surgical patients, who suffered Hirschsprung's disease and were operated on by transanal one-stage techniques from 2004 to 2011 at university pediatric hospital of Centro Havana, was carried out. All the patients were given a questionnaire to find out the condition of the intestinal and urinary functions at different times, six months after surgery. The results were correlated with age and length of the resected segment. Fisher's test was used for the statistical analysis, being p< 0,05. Results: the average age at the time of operation was 3 years (range, 1 to 15 years) and males prevailed. The rectosigmoid variant was the most common, which was evidenced by the barium enema. All these cases underwent one-stage surgery; 38 patients were satisfactorily evaluated in terms of continence and just two cases presented with constipation. A significant association between longer resected segment and the presence of altered defecation pattern was found. Conclusions: the intestinal function is satisfactory in most of patients operated on by transanal one-stage pull-through techniques for treating Hirschsprung's disease.

Palabras clave : Hirschsprung's disease; colic aganglionism; transanal endorectal pull-through.

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