Transanal one-stage endorectal pull-through for Hirschsprung's disease: a comparison with the staged procedures.

Abstract:

:Transanal one-stage endorectal pull-through (TOSEPT) has been presented as the most recent progression in treatment of Hirschsprung's disease (HD), which may be able to replace various previous techniques. This prospective study was designed to compare the efficacy and probable complications of the commonly used open surgery with those of TOSEPT technique in management of HD. Forty-two children (35 boys and 7 girls) between 3 days and 12 years of age underwent surgical treatment for HD-all after being diagnosed by barium enema over an 18-month period. In a manner of systematic random selection, 21 patients were operated by TOSEPT and the other 21 by Swenson procedures. All patients were followed-up at least for 12 months after hospital discharge. The necessary data containing age, sex, length of the resected aganglionic segment, intraoperative details, duration of hospital stay and postoperative functional results or complications were collected during hospitalization and follow-up period. There was no significant difference in age at the first operation, sex distribution and length of resected bowel between the two groups. Rate of postoperative complications were significantly higher in Swenson procedure group (P < 0.01). Narcotics were needed in all patients of Swenson procedure group but only in two patients operated by TOSEPT also required laparotomy (P < 0.001). The hospitalization period of TOSEPT group was also less than that of Swenson group (P < 0.001). The total cost of treatment by Swenson procedure is considerably higher than by TOSEPT. TOSEPT can significantly diminish postoperative pain, surgical complications, hospital stay and cost burden caused by Hirschsprung's disease. Besides, this procedure is cosmetically preferable because no visible scar remains.

journal_name

Pediatr Surg Int

authors

Aslanabadi S,Ghalehgolab-Behbahan A,Zarrintan S,Jamshidi M,Seyyedhejazi M

doi

10.1007/s00383-008-2186-9

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

925-9

issue

8

eissn

0179-0358

issn

1437-9813

journal_volume

24

pub_type

杂志文章
  • Perforated tubular duplication of the transverse colon: a rare cause of meconium peritonitis with prenatal diagnosis.

    abstract::The transverse colon is an exceptional location of intestinal duplication. Perforated duplications are rarely described in neonates. Meconium peritonitis (MP) can originate from prenatal perforated intestinal duplication. The authors report a case of a baby girl with prenatal diagnosis of MP. Rapid worsening of clinic...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1349-6

    authors: Piolat C,N'die J,Andrini P,Althuser M,Jouk PS,Jacquier C,Dyon JF

    更新日期:2005-02-01 00:00:00

  • Rupture of the right hemidiaphragm due to blunt trauma in children: a diagnostic dilemma.

    abstract::The diagnosis of right-sided diaphragmatic rupture (RDR) due to blunt abdominal trauma is often missed in the acute setting, especially in the absence of other thoracoabdominal injuries. We describe two such children. The problems associated with the diagnosis and management of RDR are discussed to emphasize the need ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830100686

    authors: Sharma AK,Kothari SK,Gupta C,Menon P,Sharma A

    更新日期:2002-03-01 00:00:00

  • Robotic fundoplication in children.

    abstract::Since January 2006, robotic assistance has been used for performing minimal invasive laparoscopic fundoplications in children. These patients were compared with those operated on with either the open surgical technique or the laparoscopic procedure. The first six children operated on with a fundoplication using the op...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-006-1817-2

    authors: Anderberg M,Kockum CC,Arnbjörnsson E

    更新日期:2007-02-01 00:00:00

  • The protective effect of fish oil lipid emulsions on intestinal failure-associated liver disease in a rat model of short-bowel syndrome.

    abstract:PURPOSE:Pediatric patients with intestinal failure need long-term parenteral nutrition (PN), but this nutritional support causes liver dysfunction, such as intestinal failure-associated liver disease (IFALD). Several studies have shown that the lipid emulsion produced by soybean oil (SO) is associated with the occurren...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-017-4190-4

    authors: Machigashira S,Kaji T,Onishi S,Yamada W,Yano K,Yamada K,Masuya R,Kawano T,Nakame K,Mukai M,Ieiri S

    更新日期:2018-02-01 00:00:00

  • Prophylactic efficacy of enteral miconazole administration for neonatal intestinal perforation and its potential mechanism.

    abstract:PURPOSE:Intestinal perforation (IP) is a fatal complication in extremely low birth weight infants (ELBWI). We started administrating enteral miconazole (MCZ) to ELBWI in 2002. Since then, the incidence of IP has significantly decreased. The aim of this study was to elucidate the prophylactic effect of MCZ for the treat...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3946-6

    authors: Torikai M,Ibara S,Ieiri S,Hamada T,Noguchi H,Sueyoshi K,Fukuda T,Abeyama K

    更新日期:2016-10-01 00:00:00

  • Measurement of pediatric testicular volume with Prader orchidometer: comparison of different hands.

    abstract::Measurement of testicular volume is a more readily available method of estimating spermatogenesis in adolescence. Traditionally, testicular volumes have been measured with different type of orchidometers or calipers. The most widely used orchidometer is the Prader orchidometer introduced in 1966. This type of orchidom...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-005-1470-1

    authors: Karaman MI,Kaya C,Caskurlu T,Guney S,Ergenekon E

    更新日期:2005-07-01 00:00:00

  • Prolonged preoperative stabilization using high-frequency oscillatory ventilation does not improve the outcome in neonates with congenital diaphragmatic hernia.

    abstract::Although delayed repair with preoperative stabilization using high-frequency oscillatory ventilation (HFOV) has been advocated in neonates with congenital diaphragmatic hernia (CDH), improved survival has not been reported. We compared survival between neonates undergoing delayed repair after prolonged stabilization f...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050398

    authors: Kamata S,Usui N,Ishikawa S,Okuyama H,Kitayama Y,Sawai T,Imura K,Okada A

    更新日期:1998-10-01 00:00:00

  • The management of anorectal malformation with congenital vestibular fistula: a single-stage modified anterior sagittal anorectoplasty.

    abstract:PURPOSE:This study aimed to evaluate the mid-term outcomes of single-stage modified anterior sagittal anorectoplasty (ASARP) for anorectal malformation with vestibular fistula. METHOD:Twenty-six patients with congenital imperforate anus and vestibular fistula underwent single-stage modified sphincter-saving ASARP betw...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3749-1

    authors: Wang C,Li L,Liu S,Chen Z,Diao M,Li X,Qiao G,Cheng W

    更新日期:2015-09-01 00:00:00

  • Intestinal organoids in infants and children.

    abstract::Recent advances in culturing of intestinal stem cells and pluripotent stem cells have led to the development of intestinal organoids. These are self-organizing 3D structures, which recapitulate the characteristics and physiological features of in vivo intestinal epithelium. Intestinal organoids have allowed the develo...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-019-04581-3

    authors: Chusilp S,Li B,Lee D,Lee C,Vejchapipat P,Pierro A

    更新日期:2020-01-01 00:00:00

  • RASSF1A methylation indicates a poor prognosis in hepatoblastoma patients.

    abstract:PURPOSE:The RAS association domain family protein 1 (RASSF1A) is known to be frequently inactivated by promoter hypermethylation in cancers. This study investigated the association of RASSF1A methylation with clinical outcomes in hepatoblastoma patients and whether it is correlated with the histological phenotype of he...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-013-3371-z

    authors: Honda S,Miyagi H,Suzuki H,Minato M,Haruta M,Kaneko Y,Hatanaka KC,Hiyama E,Kamijo T,Okada T,Taketomi A

    更新日期:2013-11-01 00:00:00

  • Pathophysiology, prevention, treatment, and outcomes of intestinal failure-associated liver disease.

    abstract:BACKGROUND:Intestinal failure-associated liver disease (IFALD) remains a serious problem in the treatment of infants with nutritional problems and short bowel syndrome. METHODS:A review of the recent literature from 2010 to 2016, concentrating on articles related to the pathophysiology of IFALD and to outcomes of nove...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-016-4042-7

    authors: Al-Shahwani NH,Sigalet DL

    更新日期:2017-04-01 00:00:00

  • Differential expression of granulocyte, macrophage, and hypoxia markers during early and late wound healing stages following transplantation of tissue-engineered skin substitutes of human origin.

    abstract:PURPOSE:Human pigmented tissue-engineered skin substitutes represent an advanced therapeutic option to treat skin defects. The inflammatory response is one of the major factors determining integration and long-term survival of such a graft in vivo. The aim of the present study was to investigate the spatiotemporal dist...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3616-5

    authors: Klar AS,Böttcher-Haberzeth S,Biedermann T,Michalak K,Kisiel M,Reichmann E,Meuli M

    更新日期:2014-12-01 00:00:00

  • New insights into the pathogenesis of Hirschsprung's associated enterocolitis.

    abstract::The management of Hirschsprung's disease (HD) has made dramatic strides over the last 20 years. Research into the embryological development and migration of ganglion cell has enabled a greater understanding of the pathogenesis of the disease. Coupled with new techniques in surgery, such as laparoscopy-assisted pull-th...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-005-1551-1

    authors: Murphy F,Puri P

    更新日期:2005-10-01 00:00:00

  • A pilot study comparing parent and adolescent online health information seeking behaviours in elective pediatric surgical situations.

    abstract:PURPOSE:Little is known of how children seek health information. This study evaluates online health information (OHI) seeking behaviours in adolescents undergoing major elective surgical procedures and compares responses within parent-child dyads. METHODS:With institutional approval, we prospectively surveyed parents ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-019-04592-0

    authors: Wong SSM,Wong KPL,Angus MIL,Chen Y,Choo CSC,Nah SA

    更新日期:2020-02-01 00:00:00

  • Functional outcome after pyeloplasty for unilateral symptomatic hydronephrosis.

    abstract::The functional outcome and factors influencing improvement after pyeloplasty for ureteropelvic junction (UPJ) obstruction are still debated. This retrospective study was aimed at evaluating the factors associated with functional improvement in symptomatic unilateral hydronephrosis (HDN). Patients (n = 68) who underwen...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830100604

    authors: Chandrasekharam VV,Srinivas M,Bal CS,Gupta AK,Agarwala S,Mitra DK,Bhatnagar V

    更新日期:2001-09-01 00:00:00

  • Signalling molecules: clues from development of the limb bud for cryptorchidism?

    abstract::Recent studies of testicular descent suggest not only that the gubernaculum does not initially attach to the scrotum, but also that it must migrate from the groin. Two findings suggest that the gubernaculum may behave like an embryonic limb bud during this phase. First, the active growth centre is at the distal tip of...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-007-1907-9

    authors: Huynh J,Shenker NS,Nightingale S,Hutson JM

    更新日期:2007-07-01 00:00:00

  • Delayed complete repair of exstrophy with testosterone treatment: an alternative to avoid glans complications?

    abstract:PURPOSE:Since 1999, complete primary repair of exstrophy has represented a valid alternative in the treatment of exstrophy patients, offering one- stage reconstruction for all components of this malformation in newborns. The vast majority of cases are currently approached within 48/72 h of life, and risk of vascular in...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-010-2745-8

    authors: Zaccara A,De Gennaro M,Di Lazzaro A,Capolupo I,Bozza P,Ragni A,Bagolan P

    更新日期:2011-04-01 00:00:00

  • Focal nodular hyperplasia in a child with Beckwith-Wiedemann syndrome.

    abstract::Beckwith-Wiedemann Syndrome (BWS) is associated with somatic overgrowth and a high risk for embryonal tumors, including hepatoblastoma, a highly malignant liver tumor of childhood. Focal nodular hyperplasia (FNH), on the other hand, is a benign tumor of the liver that is uncommon in childhood. Herein we describe a cas...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-005-1469-7

    authors: Bordeianou L,Ryan DP,Goldstein AM

    更新日期:2005-09-01 00:00:00

  • Clinical features and surgical outcome of a suprarenal mass detected before birth.

    abstract:PURPOSE:With the widespread use of the obstetrical ultrasound, identification of a fetal suprarenal mass has become more common. Most of these masses prove to be congenital neuroblastomas (CNB), but the diagnosis is often confused with other benign lesions and the postnatal management remains to be controversial. METH...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-009-2531-7

    authors: Moon SB,Shin HB,Seo JM,Lee SK

    更新日期:2010-03-01 00:00:00

  • Tunica vaginalis reinforcement flap in reoperative Snodgrass procedure.

    abstract::Interposing vascularized flaps between urethra and skin sutures is recommended in hypospadias surgery to decrease the rate of urethrocutaneous fistula. For this purpose nine patients with failed results after at least one hypospadias surgery and with insufficient foreskin were included in the study. Tubularized incise...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-003-0989-2

    authors: Gürdal M,Karaman MI,Kanberoğlu H,Kireççi S

    更新日期:2003-11-01 00:00:00

  • Abdominal radiography is not necessary in children with intussusception.

    abstract:BACKGROUND:Children with intussusception require rapid and accurate diagnosis to enable timely intervention for satisfactory outcome. Ultrasonography is the recommended standard diagnostic modality; however, abdominal radiography (AR) is still used as an initial investigation. The aim of this study was to investigate t...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3817-6

    authors: Tareen F,Mc Laughlin D,Cianci F,Hoare SM,Sweeney B,Mortell A,Puri P

    更新日期:2016-01-01 00:00:00

  • Foreign body aspiration in children: diagnosis and treatment.

    abstract::A total of 235 children, aged between 7 months and 15 years had bronchoscopy on suspicion of foreign body aspiration. The histories of these patients were studied to examine the diagnostic value of symptoms, signs, and chest x-rays, and rate of negative bronchoscopy. The sensitivity of choking and coughing was high (8...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-003-0965-x

    authors: Ayed AK,Jafar AM,Owayed A

    更新日期:2003-08-01 00:00:00

  • Congenital epulis of the jaw: a series of five cases and review of literature.

    abstract::This article describes five cases of congenital epulis, a rare and benign swelling in the mouth of a newborn, which is not widely known. We present five cases: four cases presented as single pedunculated nodules of the gingiva and in one case two nodules were present. Of all, 50% were located at the maxilla. Excision ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-008-2304-8

    authors: Küpers AM,Andriessen P,van Kempen MJ,van der Tol IG,Baart JA,Dumans AG,van der Waal I

    更新日期:2009-02-01 00:00:00

  • Unilateral spermatic vessel ligation in prepubertal rats decreases microvascular blood flow to ipsilateral testis postpubertally.

    abstract::High ligation of spermatic vessels (HLSV) and low ligation of spermatic vessels (LLSV) have been described in the surgical treatment of high undescended testis. Testicular capillary blood flow utilizing laser Doppler flowmetry after these maneuvers has not been studied thus far; hence, this study was designed. Thirty ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-003-1018-1

    authors: Srinivas M,Kilmartin B,Basham P,Puri P

    更新日期:2003-07-01 00:00:00

  • Immunohistology of aquaporin-1 and stem cell factor-receptor in human undescended testes.

    abstract:OBJECTIVES:Both aquaporin (AQP) 1 and the stem-cell factor/C-kit system seem to have a definite role in testis function, but very few studies have been reported in humans, especially in the paediatric age group. With the present study we wanted to investigate the expression of these proteins to better delineate their r...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-003-1125-z

    authors: Nicòtina PA,Romeo C,Arena S,Impellizzeri P,Antonuccio P,Arena F,Zuccarello B,Romeo G

    更新日期:2004-04-01 00:00:00

  • Outcome of submucosal injection of different sclerosing materials for rectal prolapse in children.

    abstract::Parasitic infestations, mainly enterobiasis and amoebiasis, and poor toilet training practices are commonly associated with rectal prolapse in developing countries. Injection sclerotherapy is one of the commonly used modalities for treating partial rectal prolapse in children. Various materials are available for such ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-004-1197-4

    authors: Fahmy MA,Ezzelarab S

    更新日期:2004-05-01 00:00:00

  • Towards the perfect ARM center: the European Union's criteria for centers of expertise and their implementation in the member states. A report from the ARM-Net.

    abstract:BACKGROUND:Pediatric surgeons and patient organisations agree that fewer centers for anorectal malformations with larger patient numbers are essential to reach better treatment. The European Union transacts a political process which aims to realize such centers of expertise for a multitude of rare diseases. All the cen...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-015-3752-6

    authors: Schmiedeke E,de Blaauw I,Lacher M,Grasshoff-Derr S,Garcia-Vazquez A,Giuliani S,Midrio P,Gamba P,Iacobelli B,Bagolan P,Brisighelli G,Leva E,Cretolle C,Sarnacki S,Broens P,Sloots C,van Rooij I,Schwarzer N,Aminoff D,Ha

    更新日期:2015-08-01 00:00:00

  • Elective laparoscopic gastrostomy in children: potential for an enhanced recovery protocol.

    abstract:PURPOSE:Gastrostomy tube placement is one of the most commonly performed pediatric surgical procedures and discharge is possible as early as the first postoperative day with early initiation of feeds postoperatively. We examined a national database to determine hospital length of stay (LOS) after elective laparoscopic ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-019-04472-7

    authors: Williams K,Baumann L,Abdullah F,Hendrickson RJ,Oyetunji TA

    更新日期:2019-06-01 00:00:00

  • Ovary-sparing surgery for teratomas in children.

    abstract:AIM:To share our experience in ovary-sparing surgery for teratomas in children. PATIENTS AND METHODS:The medical records of nine patients (mean age of 11.2 years, r 6-15 years) who had undergone ovary-sparing surgery for teratoma were analyzed retrospectively. Mean duration for follow-up was 29.5 months (r 15-75 month...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-012-3228-x

    authors: Özcan R,Kuruoğlu S,Dervişoğlu S,Eliçevik M,Emir H,Büyükünal C

    更新日期:2013-03-01 00:00:00

  • Can neoadjuvant chemotherapy reduce the surgical risks for localized neuroblastoma patients with image-defined risk factors at the time of diagnosis?

    abstract:PURPOSE:To date, no detailed study of the changes in the image-defined risk factors (IDRFs) after neoadjuvant chemotherapy has been performed. The aim of this study was to investigate the effect of chemotherapy on IDRFs for stage L2 neuroblastomas. METHODS:Fifteen stage L2 patients treated by neoadjuvant chemotherapy ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-016-3858-5

    authors: Yoneda A,Nishikawa M,Uehara S,Oue T,Usui N,Inoue M,Fukuzawa M,Okuyama H

    更新日期:2016-03-01 00:00:00