Surgical maneuvers for long-segment Hirschsprung pull-through in unique patients
Topic overview
This retrospective study describes two surgical techniques—Turnbull and Deloyers maneuvers—for managing long-segment Hirschsprung disease extending to or beyond the splenic flexure. In 13 pediatric patients, these approaches successfully mobilized proximal colon to the pelvis when standard pull-through was insufficient, with median 4.5-year follow-up showing feasibility for complex aganglionosis cases.
Key takeaways
- Turnbull technique creates mesenteric window for colon mobilization when aganglionosis extends to mid-transverse colon.
- Deloyers technique rotates right colon 180° to reach pelvis when ganglion cells present in proximal transverse colon.
- Both techniques successfully address insufficient colon length in long-segment Hirschsprung disease (median follow-up 4.5 years).
- Protective ileostomy used in 38% of cases; median age at pull-through was 16 months.
- Technique selection depends on proximal extent of aganglionosis: Turnbull for mid-transverse, Deloyers for proximal involvement.
Keywords
Hashtags
Full article text
Full article text not available for this entry
How to cite: GlobalCastMD. Surgical maneuvers for long-segment Hirschsprung pull-through in unique patients. GlobalCastMD Medical Library. 2024-07-08. https://library.globalcastmd.com/article/8820
Comments