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Duhamel and transanal endorectal pull-throughs for Hirschsprung disease: a Bayesian network meta-analysis.

BMC Surg

May 2024

Department of Pediatric Surgery, Qilu Hospital, Shandong University, No.107 Wenhua West Road, Lixia District, Jinan, 250012, Shandong, China.

Article Synopsis
  • The study aims to compare the effectiveness and complications of four surgical methods for treating Hirschsprung disease: open Duhamel (OD), laparoscopic-assisted Duhamel (LD), transanal endorectal pull-through (TEPT), and laparoscopic-assisted endorectal pull-through (LEPT).
  • A comprehensive review of 62 studies involving 4781 patients was conducted, assessing outcomes related to surgery and complications, using various statistical methods to analyze the data.
  • Results indicate that LEPT has the least intraoperative blood loss and shortest recovery time concerning gastrointestinal function, while OD shows longer recovery times and hospital stays compared to LEPT.
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