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Our Experience of the De la Torre-Mondragon Technique in the Surgical Management of Hirschsprung's Disease: A Report on 52 Cases.
Félicien, Mouafo Tambo Faustin; Kamga, Gacelle Fossi; Dikongue, Eugénie Caroline Dikongue; Ebo, Florence Obono; Sosso, Maurice Aurélien.
Affiliation
  • Félicien MTF; Department of Pediatric Surgery, Yaoundé Gynecoobstetric and Paediatric Hospital, Yaoundé, Cameroon.
  • Kamga GF; Department of Surgery and Specialties, University of Yaoundé I, Yaoundé, Cameroon.
  • Dikongue ECD; Department of Pediatric Surgery, Yaoundé Gynecoobstetric and Paediatric Hospital, Yaoundé, Cameroon.
  • Ebo FO; Department of Pediatric Surgery, Yaoundé Gynecoobstetric and Paediatric Hospital, Yaoundé, Cameroon.
  • Sosso MA; Department of Pediatric Surgery, Yaoundé Gynecoobstetric and Paediatric Hospital, Yaoundé, Cameroon.
Afr J Paediatr Surg ; 21(1): 34-38, 2024 Jan 01.
Article in En | MEDLINE | ID: mdl-38259017
ABSTRACT

BACKGROUND:

The authors report their experience of the transanal endorectal pull through technique as described by De la Torre Mondragon in the treatment of Hirschsprung's disease (HD). MATERIALS AND

METHODS:

It was a retro prospective, observational and descriptive hospital based study involving all proven cases of HD managed within a time frame of 8 years.

RESULTS:

Fifty two patients with a mean age of 18 months at the time of surgery. The male pre dominance was remarkable. The mean duration of the surgery was 2 h and a half hours. The surgical indication was based on the history, clinical findings and on the contrast enema (transition zone) with a 24 h film (prolonged contrast evacuation) and calculation of the rectosigmoid index (<1). With a mean follow up of 16 months, the morbidity was dominated by soiling, anastomotic strictures and enterocolitis. The mortality in one case was related to a post operative enterocolitis that was not amenable to resuscitation.

CONCLUSION:

Soiling, anastomotic strictures and enterocolitis are the main post operative complications of TEPT in the treatment of HD in our practice.
Subject(s)

Full text: 1 Database: MEDLINE Main subject: Enterocolitis / Hirschsprung Disease Type of study: Diagnostic_studies / Observational_studies Language: En Journal: Afr J Paediatr Surg Year: 2024 Type: Article Affiliation country: Cameroon

Full text: 1 Database: MEDLINE Main subject: Enterocolitis / Hirschsprung Disease Type of study: Diagnostic_studies / Observational_studies Language: En Journal: Afr J Paediatr Surg Year: 2024 Type: Article Affiliation country: Cameroon