HIRSCHSPRUNGS DISEASE - NEW SURGICAL TECHNIQUE
HIRSCHSPRUNGS DISEASE - NEW SURGICAL TECHNIQUE
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DOI：
10.1136/adc.39.204.116
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发表时间：
1964-01-01
影响因子：
5.2
通讯作者：
SOAVE, F
中科院分区：
文献类型：
--
作者：
SOAVE, F
本文的目的是描述一种治疗先天性巨结肠的新外科技术。这包括将结肠向下拉，并将其通过直肠，直肠的结构被完整地保存下来。这样，狭窄的直肠-乙状结肠段的松动完全由粘膜外入路完成，而不会对骨盆造成损伤。然后从会阴侧切除结肠。Rehbein和Romualdi在治疗高位闭锁肛门合并直肠尿道瘘或前列腺癌时，提出了直肠乙状结肠段移位的粘膜外入路的选择：切开、清洗和横切直肠上段后，切除直肠粘膜，直到瘘口水平。
The purpose of this communication is to describe a new surgical technique for Hirschsprung's disease. This consists in pulling down the colon, and passing it through the rectal canal whose structure is preserved intact. In this way mobilization of the narrowed recto-sigmoid segment is effected entirely by an extramucosal approach, without pelvic trauma. The colon is then resected from the perineal side. The choice of the extramucosal route for mobiliza-tion of the recto-sigmoid segment was prompted by papers by Rehbein and Romualdi on the treatment of cases of high-level imperforate anus with recto-urethral fistula or prostatic anus: after opening, cleaning and cutting across the upper rectum they removed the mucous membraneat the level of fistula.