Long-term outcomes in children with Hirschsprung ’s disease and transition zone bowel pull-through: impact of surgical techniques and role for conservative approach

ConclusionThis study highlights the role of conservative management with good outcomes in children with TZ bowel pull-through having hypertrophic nerve fibers and normal ganglion pattern. Children who underwent Duhamel ’s procedure had little impact with the presence of TZ at anastomotic margin and majority of those undergoing TERP benefitted from Botox injection. Conservative management can be attempted successfully to prevent redo surgical interventions as they can lead to poorer outcomes. Only those children not responding to conservative measures need to be planned for revision surgery.
Source: Pediatric Surgery International - Category: Surgery Source Type: research