Reoperation for patients with Hirschsprung's disease after a pull-through procedure
10.3760/cma.j.issn.2095-428X.2014.23.004
- VernacularTitle:先天性巨结肠再次手术问题
- Author:
Zhibao LYU
- Publication Type:Journal Article
- Keywords:
Hirschsprung's disease;
Complication;
Reoperation
- From:
Chinese Journal of Applied Clinical Pediatrics
2014;29(23):1771-1773
- CountryChina
- Language:Chinese
-
Abstract:
Most children with Hirschsprung's disease (HD) have a satisfactory outcome after a pull-through operation.However,a small group of patients develop severe postoperative complications,and a reoperation may be necessary.The most common and serious complications after definitive surgery are as follows:anastomotic stricture,a twist of the pull-through segment,retained aganglionosis,HD-associated enterocolitis,anastomotic leak,and fistulae.Using a well-defined treatment algorithm based on the clinical status as well as precise diagnostic workup can end the long suffering of patients with postoperative complications.Pull-through surgery can be safely performed with favorable outcomes after thorough history-taking,meticulous clinical examination,a thoughtful planning,adherence to basic surgical principles and under skillful hands.
