Department of Pediatric Surgery, Yaoundé Gynecoobstetric and Paediatric Hospital, Yaoundé, Cameroon.
Department of Surgery and Specialties, University of Yaoundé I, Yaoundé, Cameroon.
Afr J Paediatr Surg. 2024 Jan 1;21(1):34-38. doi: 10.4103/ajps.ajps_44_22. Epub 2023 Apr 10.
The authors report their experience of the transanal endorectal pull through technique as described by De la Torre Mondragon in the treatment of Hirschsprung's disease (HD).
It was a retro prospective, observational and descriptive hospital based study involving all proven cases of HD managed within a time frame of 8 years.
Fifty two patients with a mean age of 18 months at the time of surgery. The male pre dominance was remarkable. The mean duration of the surgery was 2 h and a half hours. The surgical indication was based on the history, clinical findings and on the contrast enema (transition zone) with a 24 h film (prolonged contrast evacuation) and calculation of the rectosigmoid index (<1). With a mean follow up of 16 months, the morbidity was dominated by soiling, anastomotic strictures and enterocolitis. The mortality in one case was related to a post operative enterocolitis that was not amenable to resuscitation.
Soiling, anastomotic strictures and enterocolitis are the main post operative complications of TEPT in the treatment of HD in our practice.
作者报告了他们在经肛门直肠内拖出术（由 De la Torre Mondragon 描述）治疗先天性巨结肠症（HD）方面的经验。
这是一项回顾性、前瞻性、观察性和描述性的基于医院的研究，涉及在 8 年时间内治疗的所有确诊的 HD 病例。
52 例患者，平均手术年龄为 18 个月。男性明显居多。手术平均持续时间为 2 小时半。手术指征基于病史、临床发现以及对比灌肠（过渡区）和 24 小时胶片（延长对比排空）和直肠乙状结肠指数的计算（<1）。平均随访 16 个月，发病率主要为大便失禁、吻合口狭窄和结肠炎。一例死亡与术后结肠炎有关，该结肠炎无法复苏。
在我们的实践中，经肛门直肠内拖出术治疗 HD 的主要术后并发症是大便失禁、吻合口狭窄和结肠炎。
