Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 4 Issue 8

Preliminary Results of Transanal Lowering in Hirschsprung Disease at the Service of Pediatric Surgery of Aristide Le Dantec of Dakar Hospital

Diaby S*, Fall M, Coulibaly MB, Niang S, Sangare M, Bitchoka NER, Fall AL, Gassama F, Coulibaly Y, Ngom G and Ndour O

Department of Paediatric Nutrition, Senegal

*Corresponding Author: Diaby S, Department of Paediatric Nutrition, Senegal.

Received: May 27, 2021; Published: July 14, 2021

Abstract

Introduction: The treatment of Hirschsprung disease is surgical and many surgical technics are described, of which the transanal way of De La Torre and Ortega. It actually constitute gold standard. We wished to evaluate our results of the pediatric surgery service of Aristide Le Dantec hospital of Dakar.

Patients and Methods: Through a prospective and descriptive study, we have recorded 16 files of 14 boys and two girls ages ranging from 0 - 15 years, who have benefited a transanal lowering for Hirschsprung disease from 1st April 2017 to 31st March 2018 at the pediatric surgery service of Aristide Le Dantec hospital of Dakar.

Results: The average of our patients at the intervention was of 30 months. The reach was sigmoidal recto in every case. The surgical biopsy confirmed the diagnostics in every case. All our patients benefited preoperative preparation. The installation of the patients was done by a ventral decubitus for 14 patients. A colostomy was made to a child.

The first was transanal exclusive for all of our patients with an average "cuff" length of 2 cm and the resected colic segment was 21 cm.

An accidental urethral breach occasioned at the intraoperative surgery. The food recovery was following day of the intervention for every patient and same for the transit areas. The average frequency of stools was 3 per day stools. The average time of hospitalization was of 5 days. All the patients benefited of a drop in the healthy zone according to the anatomopathological result of the exam. The nappy rash was found in 2 patients, the acute retention of urine in a patient, anal stenosis in a patient and staining in a patient. The post-surgical dilatation was done between the 10th and 15th day with a frequency of 2 reason per week in between 1 month except on a patient who consulted 30 days later. The average retreat was 6 months. We registered a death case due to ulcerative necrotizing enterocolitis.

Conclusion: We have satisfying results but need a deeper evaluation.

Keywords: Hirschsprung Disease; Child; Transanal Lowering of De La Torre and Ortega; Results

References

  1. Bankole S R., et al. “Notre expérience dans la prise en charge de la maladie de Hirschsprung chez l’enfant au CHU de Treichville”. Journal Afr Chir Digest1 (2006): 526-532.
  2. Bragagnini RP., et al. “Functional outcomes in postsurgery for Hirschsprung´s disease”. Cirugia Pediatrica 4 (2017): 191-196.
  3. Obermayr F., et al. “Outcome of transanal endorectal pull-through in patients with Hirschsprung's disease”. European Journal of Pediatric Surgery 4 (2009): 220-223.
  4. Pratap A., et al. “Analysis of problems, complications, avoidance and management with transanal pull-through for Hirschsprung disease”. Journal of Pediatric Surgery 11 (2007): 1869-1876.
  5. Tamby E., et al. “Abaissement transanal selon Soave dans la maladie de Hirschsprung: évaluation précoce des résultats, e-mémoires de l'Académie Nationale de Chirurgie 9.4 (2010): 018-020.
  6. Arnaud A., et al. “Évaluation fonctionnelle à long terme de l’abaissement transanal pour maladie de Hirschsprung”. Arch Pediatr6 (2010): 11.
  7. Elhalaby EA., et al. “Transanal one-stage endorectal pull-through for Hirschsprung's disease: a multicenter study”. Journal of Pediatric Surgery 3 (2004): 345-351.
  8. Pratap A., et al. “Single-stage transanal endorectal pull-through for Hirschsprung's disease: perspective from a developing country”. Journal of Pediatric Surgery 3 (2007): 532-535.
  9. Erginel B., et al. “Long-term outcomes of children with transanal endorectal pull-through and a review of the literature”. Acta Chirurgica Belgica 6 (2016): 372-375.
  10. Giuliani S., et al. “Outcome comparison among laparoscopic Duhamel, laparotomic Duhamel, and transanal endorectal pullthrough: a single-center, 18-year experience”. Journal of Laparoendoscopic and Advanced Surgical Techniques 9 (2011): 859-863.
  11. Yang L., et al. “Transanal endorectal pull-through for Hirschsprung's disease using long cuff dissection and short V-shaped partially resected cuff anastomosis: early and late outcomes”. Pediatric Surgery International 5 (2012): 515-521.
  12. Xu ZL., et al. “A new modification of transanal Swenson pull-through procedure for Hirschsprung's disease”. Chinese Medical Journal 23 (2008): 2420-2423.
  13. Zhang SC., et al. “Evaluation of anorectal function after transanal onestage endorectal pull through operation in children with Hirschsprung's disease”. Zhongguo Dang Dai Er Ke Za Zhi3 (2007):188-192.
  14. Jester I., et al. “Transanal pull-through procedure for Hirschsprung's disease: a 5-year experience”. European Journal of Pediatric Surgery 2 (2009): 68-71.
  15. Zhang SC., et al. “Long-term outcome, colonic motility, and sphincter performance after Swenson's procedure for Hirschsprung's disease: a single-center 2-decade experience with 346 cases”. The American Journal of Surgery 1 (2007): 40-47.
  16. Phillipe-chomette P., et al. “Diagnostic et prise en charge de la maladie de Hirschsprung chez l’enfant”. The Journal of Pediatrics 21 (2008): 1-12.
  17. Chen Y., et al. “Transanal endorectal pull-through versus transabdominal approach for Hirschsprung's disease: a systematic review and meta-analysis”. Journal of Pediatric Surgery 3 (2013): 642-651.
  18. Lu C., et al. “Single-stage transanal endorectal pull-through procedure for correction of Hirschsprung disease in neonates and no neonates: A multicenter study”. Journal of Pediatric Surgery 7 (2017): 1102-1107.
  19. Mao YZ., et al. “Duhamel operation vs. Transanal endorectal pull-through procedure for Hirschsprung disease: A systematic review and meta-analysis”. Journal of Pediatric Surgery (2017).
  20. Moulot MO., et al. “Results of surgical treatment of Hirschsprung disease at the Treichville Teaching Hospital”. Journal Africain d'Hépato-Gastroentérologie 9 (2015): 109-113.

Citation

Citation: Diaby S., et al. “ Preliminary Results of Transanal Lowering in Hirschsprung Disease at the Service of Pediatric Surgery of Aristide Le Dantec of Dakar Hospital”. Acta Scientific Paediatrics 4.8 (2021): 51-55.

Copyright

Copyright: © 2021 Diaby S., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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