Laparoscopic-Assisted Colonic Derotation in Patients With Hirschsprung Disease
Author / Expert
Shruthi Srinivas, Hira Ahmad, Maria E. Knaus, Liese C.C. Pruitt, Alberta Negri Jimenez, Megan Read, Naeem Liaqat, Jacob C. Langer, Marc A. Levitt, Karen A. Diefenbach, Ihab Halaweish, Alessandra C. Gasior, Richard J. Wood
Topic overview
Children with Hirschsprung disease (HSCR) proximal to the splenic flexure or those needing a redo pull-through (PT) are at risk for tension and ischemia of the PT which could result in leak, stricture, or loss of ganglionated bowel. Colonic derotation is a technique used to minimize tension and avoid duodenal obstruction. The aim of this study was to describe this technique and outcomes in a series of patients requiring this intervention.
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