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- W2017440584 abstract "The purpose of this study was to evaluate the technical difficulties and complications of a transanal pull-through for Hirschsprung's disease.This report was based on a multicentric retrospective study of 65 cases. Pull-through procedures were transanal Swenson or Soave procedures in 26 and 39 cases, respectively.Evaluation of the aganglionic level, peri-rectal dissection, and anastomosis were the three steps in the procedure where surgeons encountered difficulties. Such difficulties led to serious complications in 3 cases. A patient with a colon biopsy before the pull-through procedure had a postoperative pneumoperitoneum requiring a second laparoscopy for suture and washing. Another patient had peritonitis due to anastomotic leakage. Finally, a difficult rectal dissection in a neonate led to a urethral injury requiring secondary urethral repair. Only 41 of the 65 patients had no abdominal scars (63 %).We considered the transanal pull-through for Hirschsprung's disease to be a reliable technique. Nevertheless, it requires an urethral stent, precise dissection, careful anastomosis and selected indications in order to avoid major complications." @default.
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- W2017440584 date "2006-04-01" @default.
- W2017440584 modified "2023-10-02" @default.
- W2017440584 title "Technical Problems and Complications of a Transanal Pull-Through for Hirschsprung's Disease" @default.
- W2017440584 doi "https://doi.org/10.1055/s-2006-923995" @default.
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