Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | vineri, 19 iulie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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DIAGNOSIS AND TREATMENT BY CLASSICAL METHODS OF HIRSCHSPRUNG’S DISEASE; PERSONAL EXPERIENCE
G. Aprodu, Doina Mihăilă, C. Botez, Doina Nedelcu, V. Munteanu, Simona Gavrilescu
Clinica de Chirurgie şi Ortopedie Pediatrică Iaşi
Spitalul Clinic „Sf. Maria” Iaşi
Jurnalul de chirurgie 2007; 3 (2):141-147
Full text: PDF Format (Romana/Romanian)

Abstract:

Hirschsprung’s disease is one of the most common causes of intestinal obstruction in the neonate. The treatment of this condition and its life-threatening complications (such as necrotizing enterocolitis) are challenging. The purpose of this study is to evaluate the early and late results of classical surgical treatment in a cohort of 52 cases, operated on in Pediatric Surgery Department by the authors.
Of the 52 cases, 41 had low gestational weight (less than 2500 g). The diagnosis was established at the age less than a month in 10 cases, up to one year in 15 cases, up to three years in 13 cases, up to 6 years in 5 cases and beyond 6 years in 9 cases. The diagnosis methods comprised clinical exam, rx studies (plain radiography, barium enema) and colonic biopsy in all cases. Surgical treatment consisted in initial colostomy in 32 patients and/or one of radical procedures: Duhamel technique in 40 cases, Duhamel-Deloyer in 4 cases, Duhamel technique for total colon aganglionosis in one cases, Swenson endorectal pull-through in one case and Lester W Martin technique in one case. In eighteen cases, the radical procedure was done at first hospital admission. The results were appreciated in terms of continence, number of stools per day, tonus of the external and internal sphincters and social insertion. The Duhamel technique had 88% good results. The authors conclude that the classical approach of Hirschsprung disease give a good continence and social insertion to the patients.

KEYWORDS: HIRSCHSPRUNG’S DISEASE, SURGICAL TREATMENT, DUHAMEL TECHNIQUE

Corespondenţă: dr. G. Aprodu, Clinica de Chirurgie şi Ortopedie Pediatrică Iaşi, Spitalul „Sf. Maria” Iaşi; e-mail: ;



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.