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For short-segment Hirschsprung disease, daily trans-anal irrigation before pull-through surgery is necessary?
Pediatr Res
November 2024
Department of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Objective: To explore the role of daily trans-anal irrigation (TAI) before pull-through surgery in preventing Hirschsprung disease-associated enterocolitis (HAEC) and improving other clinical outcomes in short-segment Hirschsprung disease (HSCR).
Methods: We enrolled the children with short-segment HSCR who received primary pull-through surgery from February 2012 to August 2019 at our hospital. They were divided into two groups.
Development of Prediction Model for Hirschsprung-Associated Enterocolitis (HAEC) in Postoperative Hirschsprung Patients.
J Pediatr Surg
December 2024
Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; Clinical Surgical Research Center, Faculty of Medicine, Chiang Mai University, Thailand; Clinical Epidemiology and Statistical Statistic Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address:
Article Synopsis
- A study was conducted to create a clinical prediction model for determining the risk of postoperative Hirschsprung-associated enterocolitis (HAEC) within 5 years following surgery in children with Hirschsprung disease.
- The research included 274 patients, revealing that 27.4% experienced HAEC, with eight significant predictors identified, like gender, weight at surgery, and the type of surgical approach.
- The prediction model demonstrated promising accuracy (AuROC of 0.749) and established risk categories (low and high), aiding in patient management and follow-up; an online tool was also developed for calculating individual risk.
Peri-operative, oncological and functional outcomes of robotic versus transanal total mesorectal excision in patients with rectal cancer: A systematic review and meta-analysis.
Tech Coloproctol
July 2024
Colorectal Surgery Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Background: Comparative outcomes of robotic low anterior resection (rTME) and trans-anal total mesorectal excision (TaTME) in patients with low rectal cancer were evaluated.
Methods: A systematic online search was conducted using the following databases: PubMed, Scopus, Cochrane database, The Virtual Health Library, Clinical trials.gov and Science Direct.
Sex Disparities in Rectal Cancer Surgery: An In-Depth Analysis of Surgical Approaches and Outcomes.
World J Mens Health
April 2024
Department of Colon and Rectal Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Anatomical and physiological differences exist between sex, leading to variations in how diseases, such as rectal cancer, are prevalence and treatment outcomes of diseases including rectal cancer. In particular, in the case of rectal cancer, anatomical differences may be associated with surgical challenges, and these factors are believed to be important contributors to potential disparities in postoperative recovery, associated complications, and oncological outcomes between male and female patients. However, there is still ongoing debate regarding this matter.
View Article and Find Full Text PDFIncidence and Risk Factors for Low Anterior Resection Syndrome following Trans-Anal Total Mesorectal Excision.
J Clin Med
January 2024
Department of General Surgery, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 91120, Israel.
Background: Trans-anal total mesorectal excision (Ta-TME) is a novel approach for the resection of rectal cancer. Low anterior resection syndrome (LARS) is a frequent functional disorder that might follow restorative proctectomy. Data regarding bowel function after Ta-TME are scarce.
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