Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1377
8
1
gregorian
1998
11
1
12
3
online
1
fulltext
en
EVALUATION OF A NEW TECHNIQUE OF ANAS TOMOSIS IN THE MODIFIED DUHAMELMARTIN OPERATION FOR HIRSCHSPRUNG'S DISEASE
Vascular & Trauma Surgery
Vascular & Trauma Surgery
Original Research
Original Research
Hirschsprung's disease, also known as congenital aganglionic megacolon, is a
congenital disorder which develops due to an absence of neural ganglia in a segment
of large bowel. Most commonly, the rectum or rectosigmoid, and rarely other areas
or the entire colon are involved.
In this disease, all three neural plexi, i.e., the myenteric (Auerbach's) plexus, the
superficial submucosal (Meissner's) plexus and the deep submucosal (Henle's)
plexus are affected, therefore peristaltic waves do not occur in involved portions of
the bowel. This causes a relative stenosis in involved areas and dilatation of the prestenotic
bowel with resulting chronic constipation, recurrent diarrhea, and multiple
episodes of enterocolitis. This series of events eventually leads to severe weakness,
failure to thrive, abdominal distention and death.
The only correct and effective form of therapy for this disorder is surgery. Surgical
treatment can be performed by various methods, such as that proposed by Swenson
et al,lI Soave,9 Duhame1,2 and Rehbein and Martin.4 Studies have shown that
Martin's method has several advantages compared to other forms of surgical therapy.
These are:
1/ Sensation is spared throughout the entire rectum.
2/ No dissection is performed anteriorly.
3/ Intraoperative bleeding is less.
4/ No catheter is required postoperatively.
The modified Duhamel-Martin procedure which is the subject of this study has
some practical benefits and less complications compared to the traditional Martin
operation and is therefore our recommended technique for the treatment of
Hirschsprung's disease.
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-450&slc_lang=en&sid=1
R
MOOSAVI
20031947532846004766
20031947532846004766
Yes
From the Department of General and Vascular Surgery and Traumatology, ShoJuula Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, I.R.lran.
A
KALANTAR MOTAMEDI
20031947532846004767
20031947532846004767
No