heart-shaped anastomosis for hirschsprungs efficacy（心形的吻合巨结肠的功效）.docVIP

Heart-shaped anastomosis for Hirschsprung’s efficacy [Abstract] Objective To investigate the treatment of children with heart-shaped anastomosis in Hirschsprung’s effectiveness pediatric surgery method in our hospital since June 2001 - September 2007, the use of heart-shaped anastomosis 36 cases of HD patients were retrospectively analysis of all patients were pathologically diagnosed, follow-up 30 patients for 3.5 to 10 years in all cases the results of the successful surgery, postoperative nutrition, recent anastomotic leakage, no intra-abdominal and wound infection, recurrence and long-term agreement without constipation stenosis, fecal incontinence, dirty pants and other complications. Conclusion heart-shaped anastomosis for treatment of children with Hirschsprung’s disease is safe and effective clinical use should be master of its indications. [Keywords: Hirschsprung disease anastomosis children Hirschsprung’s disease, also known as bowel without ganglion cells and Hirschsprung disease (HD), is a common pediatric surgical malformations of the digestive tract, from Frederick Ruys (1691) and Hirschsprung (1886) discovered and described later, after the various treatments exploration until 1948, Swenson using narrow expansion resection, colon and drop-anal anastomosis was to create a new effective method to tackle [1] I modified Swenson method that is being introduced heart-shaped anastomosis HD36 cases, results were satisfactory, are as follows. 1 Materials and Methods 1.1 General Information The group of 36 patients, including 25 males and 11 females, aged 1.6 to 9 years, 29 cases of common type, 7 cases of short segment type, are typical manifestations of congenital megacolon (meconium delay, intractable constipation, spastic colon barium enema showed rectal stenosis, the expansion of the proximal colon, in all cases preoperative barium enema and anorectal manometry and other diagnosis, pathological examination confirmed. 1.2 surgical