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Laparoscope-Assisted Heart-Shaped Anastomosis for Hirschsprungs Disease.

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eMediNexus    11 July 2018

The goal of a new study published in the Journal of Laparoendoscopic & Advanced Surgical Techniques was to determine the long-term effects of laparoscope-assisted heart-shaped anastomosis (LHSA) and to compare it with a widely used approach – laparoscope-assisted Soave procedure (LSP). This retrospective study investigated the symptoms of chronic constipation and soiling in 56 children and adolescents after LHSA and 54 age-matched patients with Hirschsprungs Disease (HD) after LSP between 2005 and 2011. The findings revealed that constipation was less frequent after LHSA than after LSP. Meanwhile, the frequency of soiling after LHSA was comparable to that after LSP. Furthermore, long-term follow-up results exhibited that the incidence of constipation after LHSA declined when compared to that after LSP, and soiling showed a satisfactory result. From the results, it was concluded that the improved anastomosis in LHSA preserves most of the internal anal sphincter, and the wide anastomosis prevents stenosis. It was stated that the LHSA method to manage the affected bowel provides satisfactory long-term outcomes, that is, avoiding constipation and soiling. Thus, LHSA may provide a new choice for HD operations.

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