VALUE OF DE LA TORRE-MONDRAGON PROCEDURE IN THE SURGICAL TREATMENT OF PATIENTS WITH HIRSCHSPRUNG’S DISEASE

  • Monica IVANOV “Marie S. Curie” Emergency Children’s Hospital, Bucharest, Romania
  • D.I. IOZSA “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

Abstract

Hirschsprung’s disease (HD) is a congenital anomaly in which numerous improvements in terms of the level of knowledge and treatment options have been made. Along with modern diagnostic tools, like suction biopsy, a number of new surgical techniques were developed, such as the laparoscopic approach and trans anal endorectal pull-through. Results: This paper present our experience with De La Torre-Mondragon procedure, in a retrospective study of 28 HD cases. We focused on the value of rectal biopsy and water-soluble contrast enema as main diagnostic tools, the surgical technical details and the encountered complications - perianal dermatitis (10 cases), acute enterocolitis (14 cases), encopresis (4 cases), functional obstruction due to anastomosis in the transition zone (1 case), and mechanical obstruction (3 cases). Conclusions: We conclude that the De La Torre-Mondragon surgical technique is for us the procedure of choice in or common forms of HD.

Author Biography

D.I. IOZSA, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

“Marie S. Curie” Emergency Children’s Hospital, Bucharest, Romania

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Published
2021-06-30