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ABSTRACT: PurposeThis study examined the long-term therapeutic effect of fish mouth and parachute technique anastomosis for Hirschsprung’s
disease.
MethodsFrom March 1992 to October 2002, we performed one-stage fish mouth and parachute technique anastomosis for 293 patients with
Hirschsprung’s disease. Two hundred and fifty-four patients (79 percent) were followed up for three to five years. The operative
outcome and postoperative complications were retrospectively analyzed.
ResultsTwo hundred ninety-three patients were included in the study, the majority of patients were male (n = 205, 70 percent) and
ages ranged between 8months and five years. Early complications were low (n = 7, 2.3 percent) and included urine retention
(n = 2), enteritis (n = 2), and intestinal obstruction (n = 3). No infection of the abdominal cavity or wound, anastomotic
leakage, or death occurred in any patients. Late complications were present in 10 cases (3.4 percent).
ConclusionsThe fish mouth and parachute surgical technique procedure showed some practical benefits and fewer complications than traditional
surgical techniques for the treatment of Hirschsprung’ s disease.
Diseases of the Colon & Rectum 04/2012; 51(10):1559-1561. · 3.13 Impact Factor
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ABSTRACT: This is a new technique for tendon repair that may improve the results of existing methods.
The study is a nonrandomized retrospective study using historical (nonconcurrent) controls. From May 1994 to March 2004, 53 children aged 5 to 15 years requiring tendon repair (test group) were compared to 53 children conventionally repaired (control group). All patients had flexor tendon injuries, involving zone 2. In the test group (53 patients), a modified Kessler repairing of tendons with 4-0 prolene was used, followed by a core suture of running 7-0 nylon or prolene epitendinous suture. After the tendon repair, a segment of vein through which the tendon had been passed before or a vein patch used as a tendon sheath substitute was used to repair the sheath defects. The results during 6 months of follow-up were compared with those of the control group that were operated using the conventional technique (modified Kessler method).
We assessed the results by measuring the range of motion of the metacarpophalangeal, distal interphalangeal, and proximal interphalangeal joints in the follow-up period and graded them as excellent, good, fair, and poor. In the test group, 86% were graded as excellent, 11% good, 3% fair, and 0% poor results; and in the control group, 0% were excellent, 12% good, 38% fair, and 50% poor results. The differences were significant (P < .005).
Our preliminary results appeared encouraging when compared with the outcomes achieved by the conventional tendon repair technique. As the new technique decreases the need for intensive physiotherapy, it may serve as a substitute method for the conventional tendon repair and eventually become a standard technique in the future.
Journal of Pediatric Surgery 08/2009; 44(8):1662-5. · 1.45 Impact Factor
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[show abstract]
[hide abstract]
ABSTRACT: This study examined the long-term therapeutic effect of fish mouth and parachute technique anastomosis for Hirschsprung's disease.
From March 1992 to October 2002, we performed one-stage fish mouth and parachute technique anastomosis for 293 patients with Hirschsprung's disease. Two hundred and fifty-four patients (79 percent) were followed up for three to five years. The operative outcome and postoperative complications were retrospectively analyzed.
Two hundred ninety-three patients were included in the study, the majority of patients were male (n = 205, 70 percent) and ages ranged between 8 months and five years. Early complications were low (n = 7, 2.3 percent) and included urine retention (n = 2), enteritis (n = 2), and intestinal obstruction (n = 3). No infection of the abdominal cavity or wound, anastomotic leakage, or death occurred in any patients. Late complications were present in 10 cases (3.4 percent).
The fish mouth and parachute surgical technique procedure showed some practical benefits and fewer complications than traditional surgical techniques for the treatment of Hirschsprung' s disease.
Diseases of the Colon & Rectum 09/2008; 51(10):1559-61. · 3.13 Impact Factor
