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Early and Late Complications Following Operative Repair of Hirschsprung’s Disease

  • Chapter
Hirschsprung's Disease and Allied Disorders

Abstract

Since Harald Hirschsprung’s classic description in 1886,over 100 papers on complications following repair of Hirschsprung’s disease have been published. Original works by Swenson (1948), Rehbein (1953), Duhamel (1956), and Soave (1964) and their predecessors emphasized large single-institution or even single-surgeon experiences rendering comparative outcome analysis difficult. Contemporary surgical management has evolved from the traditional three-stage approach to the more recent introduction of minimally invasive laparoscopic techniques [1, 2] and neonatal one-stage reconstruction [3, 4]. Initial results of these procedures have been limited to single-center or small multicenter series with relatively short follow-up. Although multiple studies have suggested that the popular endorectal technique is safe and efficacious [5–7], the influence on the incidence of late complications is yet to be fully determined. Many of the techniques can also be done in an open or laparoscopically assisted manner. Different risks and benefits are attendant with each of these choices.

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  74. Enterocolitis: Swenson 9, 15, 32, 59–62; Duhamel 15, 32, 52, 59, 60, 62; Soave 14, 15, 32, 37, 60, 62, 65; Rehbein 16, 62, 66; total previous, plus 12, 29, 30, 38, 42, 67, 68

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  77. Incontinence: Swenson 9, 15, 23, 58, 59, 61; Duhamel 15, 23, 45, 58, 59, 61; Soave 15, 23, 28, 59, 61, 63, 64; total previous, plus 29, 41, 49, 66, 69

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  78. Stricture: Swenson 9, 15, 69; Duhamel 15, 45, 66, 69; Soave 14, 15, 63, 64, 66, 69; Rehbein 31, 72; ERPT 5, 46; total previous, plus 29, 41, 69

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  79. Mortality: Swenson 9, 15, 23, 70; Duhamel 15, 23, 45, 70, 73; Soave 14, 15, 23, 28, 63, 70; Rehbein 31; ERPT 46; total previous, plus 29, 49, 69

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  1. Department of Surgery, Children’s Mercy Hospital, 64108, Kansas City, MO, USA

    D.C. Little & C.L. Snyder

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  1. Immenzaun 6a, 51429, Bergisch Gladbach, Germany

    Alexander Matthias Holschneider

  2. The Children’s Hospital of Cologne, Amsterdamerstr. 59, 50735 , Cologne, Germany

    Alexander Matthias Holschneider

  3. Our Lady’s Children’s Hospital, Children’s Research Centre, University College of Dublin, Crumlin, Dublin 12, Ireland

    Prem Puri

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Little, D., Snyder, C. (2008). Early and Late Complications Following Operative Repair of Hirschsprung’s Disease. In: Holschneider, A., Puri, P. (eds) Hirschsprung's Disease and Allied Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33935-9_29

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  • DOI: https://doi.org/10.1007/978-3-540-33935-9_29

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