Single Stage Transanal Pull-Through for XXXX in Neonates: Our Early Experience.

@entity1 @entity154 @entity295 @entity834 @entity548 @entity190 @entity1963 @entity1321 @entity1964 @entity130
OBJECTIVE: @entity1963 is one of the common causes of @entity1321 in neonates. Transanal endorectal pull-through represents the latest development in the concept of the minimally invasive surgery for @entity1963 . In this study, we present our early experience with single stage transanal pull through in neonates. DESIGN: Retrospective study of neonates with single stage transanal pull-through done for @entity1963 in our institute from January 2011 to January 2013. MATERIAL AND METHOD: Five newborn @entity1 who presented with @entity1963 were studied. The selection criteria included radiological transition zone at rectosigmoid or mid-sigmoid region, weight more than 2 kg, no evidence of @entity1964 or @entity295 and no associated @entity154 . Single stage transanal endorectal pull-through was done in these @entity1 . The follow-up period ranged from 6 months to 2 years. RESULTS: Five @entity1 with a mean age of 26.4 days (range 15-45 days) and a mean weight of 2.6 Kg (range 2.2 to 3.7 Kg) underwent transanal endorectal pull through. The mean operating time was 68 min (range 60 to 120 min). The average intra-operative @entity190 was 20 ml (range - 10 to 30 ml) and the average length of bowel resected was 12.8 cm (range - 10 to 18 cm). Post-operatively @entity1 passed first stool between 2nd and 3rd day. Oral feeding was resumed on 5th to 6th post-operative day. The average post-operative duration of stay in hospital was 10 days. None of the @entity1 had @entity548 , @entity130 , @entity834 or retraction of anastomotic site. Three @entity1 developed perianal excoriation and one @entity1 had post-operative @entity1964 . No mortality occurred in the series. CONCLUSION: Advancement in pediatric anaesthesia, availability of pediatric surgical expertise, improvement in pre-operative and post-operative management and nursing care has made single stage transanal pull-through in neonates a feasible option. The early results are comparable to single stage or multistage surgery in older @entity1 .
