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Laparoscopic pull through for Hirschsprung′s disease in infants

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Author(s): Jona Juda

Journal: Journal of Indian Association of Pediatric Surgeons
ISSN 0971-9261

Volume: 10;
Issue: 1;
Start page: 28;
Date: 2005;
Original page

Keywords: Hirschsprung′s disease | Laparoscopic pullthrough | Infancy

ABSTRACT
Purpose: To report personal experience with Primary Laparoscopic Pullthrough Procedure (PLPP) in infants with Hirschsprung′s Disease (H.D.). Materials and Methods: Sixty four PLPP were performed by the author. In addition, 17 assisted LPP were done but not reported herein. The patients′ personal and anatomic data were typical for babies with H.D. Results: Average age at operation was seven weeks (range 1-28 weeks). Operative time for PLPP averaged 140 minutes. Two babies required conversion to a standard laparotomy for anatomic reasons (long segment). Average blood loss was 4 years of age. Conclusion: PLPP is an effective, problem free approach for treating neonatal H.D. It has replaced the standard two stage open procedure in babies with uncomplicated presentation.
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