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Laparoscopic Assisted Pull-through Versus Other Surgical Procedures for Treatment of Hirschsprung Disease

Laparoscopic Assisted Pull-through Versus Other Surgical Procedures for Treatment of Hirschsprung Disease.

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03269812
Enrollment
60
Registered
2017-09-01
Start date
2017-09-01
Completion date
2019-10-01
Last updated
2017-09-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hirschsprung Disease

Brief summary

To evaluate the outcomes of laparoscopic pull-through concerning constipation, incontinence and enterocolitis in comparison of other surgical procedures for treatment of Hirschsprung disease.

Detailed description

Hirschsprung,s disease (HD) is a relatively common cause of intestinal obstruction in the newborn\[1,2\], The main goal in the treatment of patients with Hirschsprung,s disease is to resect the aganglionic segment and pull down the Normo-ganglionic bowel\[3\]. With the introduction of minimally invasive surgery, classic pull-through techniques were modified and improved with laparoscopy, because of the obvious advantages of laparoscopic-assisted pull-through operations in form of reduced pain and improved cosmoses this approach has gained much popularity\[4,5\].

Interventions

PROCEDURElaparoscopic assisted pull-through oeration

Under general anesthesia and insertion of ports for laparoscopic instruments, laparoscopic assisted mobilization of sigmoid colon and dissection till pelvis and removal of a ganglionic segment of colon and laparoscopic assisted pull through of colon then colo-anal anastomosis will be done,

Sponsors

Assiut University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
6 Months to 36 Months
Healthy volunteers
No

Inclusion criteria

1. Age from 6months to 3 years. 2. Both sexes. 3. Classic and long segment Hirshsprung. 4. Total a ganglionic colon. 5. Hirshsprung disease with leveling colostomy

Exclusion criteria

1. Patients \<6 months and \>3 years. 2. Short and Ultra-short Hirshsprung. 3. Recurrent cases of Hirshsprung. 4. Other contraindication of laparoscopy

Design outcomes

Primary

MeasureTime frameDescription
Constipationfrom one to three months after operationpersistace of inablilty to pass stool even after operation and treatment,it is physiological parameter and assisted by asking the mothers of patients about the bowel habits.

Contacts

Primary ContactMohammed Hamada Takrouney
m.takrouney1988@gmail.com+201009321033
Backup ContactIbrahim Ali Ibrahim
Dr.ibrahimali@yahoo.com+201005801291

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026