RESUMEN
The efficacy of preparation "Tachocomb" application in 224 children, ageing from 1 day to 18 years old, was studied up. The spectrum of the preparation studying had included the investigation of its properties, which secure an additional isolation for the intestinal and vascular walls defects, and hemostatic effect in the hemorrhage area as well. The data obtained trust the safety and efficacy of "Tachocomb" platelets application in pediatric surgery and permit to recommend them for improvement of the surgical treatment results.
Asunto(s)
Aprotinina/uso terapéutico , Anomalías Congénitas/cirugía , Fibrinógeno/uso terapéutico , Hemostasis Quirúrgica/métodos , Hemorragia Posoperatoria/prevención & control , Tapones Quirúrgicos de Gaza , Trombina/uso terapéutico , Adolescente , Niño , Preescolar , Combinación de Medicamentos , Humanos , Lactante , Recién Nacido , Resultado del TratamientoRESUMEN
Several surgical procedures are available for the treatment of Hirschsprung's disease (HD) the choice often depends on the surgeon's preference. The procedure that is most convenient for the surgeon is not necessarily the optimal one for the patient, however, and complications and mortality need to be considered. We reviewed our series of 275 children operated upon for HD by endorectal pull-through after Soave-Boley dissection of the seromuscular cuff followed by a hand-sutured (HSA) (210) or stapled (SA) (65) primary perineal colorectal anastomosis. Early postoperative complications were documented in 13 children with a HSA and 5 with a SA Follow-up was from 6 months to 15 years for HSA patients with and from 1 month to 3 years after SA. Results were good or satisfactory; there were no unsatisfactory results. On long-term follow-up the complication rate after SA (13.8%) was comparable to that after HSA (20.5%). The overall complication rate on long-term follow-up was 2.91%, which is comparable to results published in the literature. The SA is particularly convenient for surgeon, as it allows a simpler and shorter operation than with the traditional HSA.