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Controversies in Hirschsprung surgery. | LitMetric

Controversies in Hirschsprung surgery.

World J Pediatr Surg

Division of Colorectal and Pelvic Reconstruction, Children's National Hospital, Washington, District of Columbia, USA.

Published: September 2024

AI Article Synopsis

  • * Despite over fifty years of progress in treating HSCR, there are ongoing debates about the surgical methods, timing of surgeries, and how to best treat patients diagnosed later in life.
  • * The review will discuss the controversies surrounding HSCR, including post-surgery complications like soiling, transition zones, and preventing infections like enterocolitis.

Article Abstract

The treatment of Hirschsprung disease (HSCR) is surgical resection of aganglionic bowel and subsequent pull-through of ganglionated bowel. Despite many advances since the initial description of the disease and its surgical management more than half a century ago, there remain considerable controversies regarding the history of the surgical technique, the optimal timing of the primary and multistage pull-through, the best treatment for patients with a delayed diagnosis of HSCR, and the management of post pull-through complications such as soiling due to sphincter incompetence, the presence of a transition zone, and the prevention of enterocolitis. The following review will explore each of these controversies.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11429006PMC
http://dx.doi.org/10.1136/wjps-2024-000887DOI Listing

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