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Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 8 No. 1 (2017)

Laparoscopic assisted transanal endorectal pull-through procedure for Hirschsprung’s disease in children: Our experience

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2017
CONTENTSVolume 08Number 1January 2017
Editorial
Childhood malignancies in Bangladesh: Challenges and solutions
AKM Amirul Morshed
01
Review Articles
Choledochal cyst and new Era in its management
Kaniz Hasina
28
Original Articles
Comparison of dartos flap and dartos flap plus spongioplasty to prevent fistula in tubularized incised plate urethroplasty
Sahadeb Kumar Das, Kaniz Hasina, Md Ashraf Ul Huq, Jaglul Gaffer Khan
05
Evaluation of postoperative wound infection in children
Partha Sarathy Majumder, Anuradha Karmaker, Md Mahbubul Alam, Lutfan Nessa
11
Role of laparoscopy in the management of impalpable testis in children: Approach in our country
Muhammed Moinul Huque, Ashraf Ul Huq, Kaniz Hasina, Md Jafrul Hannan
15
Laparoscopic assisted transanal endorectal pull-through procedure for Hirschsprung’s disease in children: Our experience
Md Mozammel Hoque, Md Jafrul Hannan
20
Gastric outlet obstruction in children secendery to corrosive ingestion
Zahid Boksh, Kaniz Hasina, Ansar Ali, Golam Kibria, Sharifuzzaman, Masfiqur Rahman
24
Case Reports
Vaginal yolk sac tumour in infant : A rare case report
AKM Amirul Morshed, Zohora Jameela Khan, Habiba Khatun, Delowar Hossain, Iffat Ara Shamsad, Ashraf Ul Huq, Shahnoor Islam
36
Typhoid ulcer causing massive per-rectal bleeding : A rare case report
Musrat Rahman Deeba, Ahmed Sayeed, Imran Rahman Sabbir
38
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Mozammel HoqueAssociate professor, Department of Pediatric surgery, CMOSHMC, Chittagong
  • Md Jafrul HannanProfessor of pediatric surgery, South point Hospital, Agrabad, Chittagong

Keywords

Laparoscopic assisted Hirschsprung’s disease

Abstract

Background: Trans anal endorectal pullthrough procedure is primarily performed for rectosigmoid aganglionosis, generally with excellent results. There is evidence that overstreching the anus and tension traction in the sigmoid colon during the procedure could impair the continence of the patient. Trans anal pull-through for Hirschsprung’s disease with laparoscopic assistance is gaining popularity. We describe our early clinical results after laparoscopic assisted endorectal colon pull-through for Hirschsprung’s disease. Materials and methods: From july 2013 to june 2016, a total of 28 patients were treated with Hirschsprung’s disease randomized for laparocopic assisted trans anal pull-through. Of which male were 18 and female 10. Age ranged from 19 days to 3.5 years. The technique was 3 small (5mm) abdominal ports. A colon pedicle preserving the marginal artery is fashioned laparoscopically. The rectal mobilization is performed transanally using an endorectal sleeve technique. The anastomosis is performed transanally 1cm above the dentate line. Results: The median operative time was 125 min (range 110- 180min). Follow up period 15 days to 12months. Overall functional outcome was good in all cases. Three cases developed mild enterocolitis. One patient developed fecal incontinence and soiling. Conclusion: Laparoscopic assisted colon pull-through for Hirschsprung’s disease is simple and easy to perform with minimal dissection which cause less damage to the internal sphincter and pelvic nerves.

Journal of Paediatric Surgeons of Bangladesh (2017) Vol. 8 (1): 20–23

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