J Korean Assoc Pediatr Surg.
2002 Jun;8(1):64-67.
Postoperative Problems of Hirshsprung's Disease and It's Management
- Affiliations
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- 1Division of Pediatric Surgery, Yonsei University College of Medicine, Seoul, Korea.
Abstract
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Since Swenson and Bill established the treatment principles of Hirshsprung's disease in 1948, there have been significant advances in the management of this disease. During the last decade, one-stage correction of Hirshsprung's disease without colostomy and primary laparoscopic pull-through procedure became popular with recent advances in the technology and refinement of the equipments. But the outcomes for Hirshsprung's disease are not always successful, and long-term follow-up isessential. Most children after corrective surgery show significant improvement in respect to fecal continence and constipation, that may not be apparent until late adolescence. The purpose of this study was to review the postoperative problems of Hirschsprung's disease and it's management.