Post-surgical Outcomes of Different Surgical Techniques in Hirschsprung's Disease: A Literature Review.
hirschsprung disease (hd)
laparoscopic-assisted tept
laparoscopy
pediatric gastroenterology
pediatric surgery
postoperative outcomes
transanal endorectal pull-through (tept)
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
accepted:
14
10
2023
medline:
15
11
2023
pubmed:
15
11
2023
entrez:
15
11
2023
Statut:
epublish
Résumé
Hirschsprung's disease (HD) is a rare condition that affects newborns and is characterized by the lack of ganglion cells in the colon. Typical symptoms include difficulty passing stool, vomiting, and trouble feeding. Various surgical methods are available to manage the condition. The aim of the study is to investigate and compare the post-surgical outcomes of different surgical techniques used in the treatment of HD. A thorough literature search was conducted using various electronic databases to identify relevant studies to be referred to. Double-blinded screening of the identified articles led to the final selection of 40 out of 440 HD, including transanal endorectal pull-through (TERPT), laparoscopic approaches, and modified techniques. Several studies have investigated surgical procedures for HD, including TERPT, laparoscopic methods, and modified techniques. These have shown positive outcomes, with fewer complications, improved bowel function, and favorable cosmetic results. Individual patient characteristics and surgeon expertise should guide procedure selection. Surgery for HD aims to restore normal bowel function, but post-surgical outcomes can include constipation or fecal incontinence. Complications like enterocolitis, anastomotic stricture, and sphincter damage may occur. Laparoscopic approaches have shorter hospital stays. However long-term follow-up is essential to assess quality of life, psychological well-being, and potential side effects.
Identifiants
pubmed: 37965402
doi: 10.7759/cureus.47012
pmc: PMC10642618
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e47012Informations de copyright
Copyright © 2023, Munnangi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
BMJ Open. 2015 Mar 24;5(3):e006063
pubmed: 25805527
J Pediatr Surg. 2021 Aug;56(8):1465-1469
pubmed: 34052005
Afr J Paediatr Surg. 2022 Jan-Mar;19(1):56-59
pubmed: 34916354
J Pediatr Surg. 2016 May;51(5):770-4
pubmed: 26949144
Eur J Pediatr Surg. 2011 Oct;21(5):325-30
pubmed: 21879462
Pediatr Surg Int. 2016 Aug;32(8):743-9
pubmed: 27385111
Pediatr Surg Int. 2010 Jul;26(7):747-51
pubmed: 20532528
J Pediatr Surg. 2014 Sep;49(9):1394-9
pubmed: 25148745
Surg Endosc. 2012 May;26(5):1325-31
pubmed: 22044983
Eur J Pediatr Surg. 2015 Oct;25(5):430-4
pubmed: 25111270
Ann Surg. 2017 Mar;265(3):622-629
pubmed: 28169931
Med J Malaysia. 2020 May;75(Suppl 1):28-31
pubmed: 32483104
J Pediatr Surg. 2016 Dec;51(12):2010-2014
pubmed: 27916192
Pediatr Surg Int. 2022 Jan;38(1):51-57
pubmed: 34557957
Afr J Paediatr Surg. 2013 Oct-Dec;10(4):362-6
pubmed: 24469488
World J Surg. 2020 Jul;44(7):2426-2439
pubmed: 32161985
Semin Neonatol. 2003 Jun;8(3):233-41
pubmed: 15001142
J Pediatr Surg. 2017 Sep;52(9):1446-1450
pubmed: 27765267
Eur J Pediatr Surg. 2017 Feb;27(1):96-101
pubmed: 27898990
JAAPA. 2016 Apr;29(4):24-9
pubmed: 26945276
Medicine (Baltimore). 2019 Aug;98(32):e16777
pubmed: 31393401
BMC Gastroenterol. 2020 Mar 12;20(1):67
pubmed: 32164539
J Laparoendosc Adv Surg Tech A. 2011 Nov;21(9):859-63
pubmed: 21854203
World J Gastroenterol. 2019 Dec 14;25(46):6781-6789
pubmed: 31857779
J Pediatr Surg. 2021 Sep;56(9):1513-1523
pubmed: 33993978
Reprod Health. 2020 Nov 30;17(Suppl 2):153
pubmed: 33256772
J Pediatr Gastroenterol Nutr. 2011 Jul;53(1):75-9
pubmed: 21694540
J Laparoendosc Adv Surg Tech A. 2020 Sep;30(9):1023-1028
pubmed: 32716243
J Pediatr Surg. 2022 Sep;57(9):69-74
pubmed: 35123788
J Pediatr Surg. 2020 Mar;55(3):381-386
pubmed: 31296328
Medicine (Baltimore). 2015 Sep;94(39):e1632
pubmed: 26426651
Pediatr Surg Int. 2020 Feb;36(2):209-218
pubmed: 31659436
Curr Opin Pediatr. 2013 Jun;25(3):368-74
pubmed: 23615177
Eur J Pediatr Surg. 2018 Feb;28(1):81-88
pubmed: 28958095
Semin Pediatr Surg. 2022 Apr;31(2):151164
pubmed: 35690463
Pediatr Surg Int. 2012 May;28(5):515-21
pubmed: 22426598
J Med Assoc Thai. 2016;99 Suppl 4:S59-64
pubmed: 29916684
J Pediatr Surg. 2021 Mar;56(3):483-486
pubmed: 32534905
Pediatr Surg Int. 2013 Sep;29(9):937-46
pubmed: 23943251
J Pediatr Surg. 2013 Dec;48(12):2536-9
pubmed: 24314199
Arq Bras Cir Dig. 2021 Jan 15;33(3):e1545
pubmed: 33470375