Hirschsprung’s Disease: A Review of Its Management Options
Sami N. Ragab *
Section of Pediatric Surgery, Tanta University Hospital, University of Tanta, 31512, Tanta, Al-Geish St., Egypt.
Hisham A. Almetaher
Section of Pediatric Surgery, Tanta University Hospital, University of Tanta, 31512, Tanta, Al-Geish St., Egypt.
Ahmed A. Eisa
Section of Pediatric Surgery, Tanta University Hospital, University of Tanta, 31512, Tanta, Al-Geish St., Egypt.
Hussam S. Hassan
Section of Pediatric Surgery, Tanta University Hospital, University of Tanta, 31512, Tanta, Al-Geish St., Egypt.
Essam A. Elhalaby
Section of Pediatric Surgery, Tanta University Hospital, University of Tanta, 31512, Tanta, Al-Geish St., Egypt.
*Author to whom correspondence should be addressed.
Abstract
Objectives: This article evaluates current data in literature on the definition, outcomes, and current management strategies for patients with Hirschsprung's disease (HD).
Methods: Different questions about the definition, management, and outcomes of patients with Hirschsprung's disease (HD) had been created. English-language articles published until 2022 had been gathered by searching Scopus, PubMed, Google Scholar and Web of Science.
Results: 61 manuscripts had been included in this review article. The Three well known operations which had been and still available for management of HD are: Soave, Swenson, and Duhamel operations. Transanal endorectal pull-through and laparoscopically assisted Swenson pull-through procedures for Hirschsprung’s disease offer a minimally invasive alternatives to traditional open abdominal operations.
Conclusion: The outcomes of laparoscopic assisted trans-anal or complete transanal are slightly superior to other procedures.
Keywords: Hirschsprung’s disease, aganglionic, ganglion cells, intestinal obstruction, laparoscopic assisted