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01-04-2004 | Case report

Laparoscopic relief of obstructing folded muscular cuff after transanal pull-through for aganglionosis

Authors: D. Falchetti, A. Dessanti, V. Villanacci, M. Iannuccelli

Published in: Surgical Endoscopy | Issue 4/2004

Abstract

Transanal endorectal resection and colonic pull-through (TERPT) is a good technique for the management of Hirschsprung’s disease. This procedure is feasible in the vast majority of patients and is associated with excellent results, early postoperative recovery, and no visible scars. We report the case of a patient who developed early postoperative severe constipation after TERPT due to unusual folding of the muscular cuff rim, which tightly narrowed the pulled-through colon. This complication was diagnosed and treated by laparoscopy. To prevent it, we recommend splitting of the aganglionic muscular cuff during TERPT.

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Title: Laparoscopic relief of obstructing folded muscular cuff after transanal pull-through for aganglionosis
Authors: D. Falchetti
A. Dessanti
V. Villanacci
M. Iannuccelli
Publication date: 01-04-2004
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 4/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-003-4264-3

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Laparoscopic relief of obstructing folded muscular cuff after transanal pull-through for aganglionosis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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