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Minimally Invasive Surgery for Hirschsprung Disease: Current Practices and Future Directions.
Almadhoun, Mohammed Khaleel I Kh; Morcos, Rami Kamal Atiya; Alsadoun, Lara; Bokhari, Syed Faqeer Hussain; Ahmed, Zeeshan; Khilji, Faria; Hasan, Abdul Haseeb; Bakht, Danyal; Abuelgasim, Omer; Altayb Ismail, Mohamedalamin Alnoor.
Afiliación
  • Almadhoun MKIK; Medicine and Surgery, Mutah University, Karak, JOR.
  • Morcos RKA; General Surgery, Ministry of Health Holdings, Riyadh, SAU.
  • Alsadoun L; General Surgery, Ain Shams University Hospitals, Cairo, EGY.
  • Bokhari SFH; Trauma and Orthopaedics, Chelsea and Westminster Hospital, London, GBR.
  • Ahmed Z; Surgery, King Edward Medical University, Lahore, PAK.
  • Khilji F; Medicine and Surgery, King Edward Medical University, Lahore, PAK.
  • Hasan AH; Internal Medicine, Tehsil Headquarter Hospital, Shakargarh, PAK.
  • Bakht D; Internal Medicine, Quaid-e-Azam Medical College, Bahawalpur, PAK.
  • Abuelgasim O; Internal Medicine, Mayo Hospital, Lahore, PAK.
  • Altayb Ismail MA; Internal Medicine, King Edward Medical University, Lahore, PAK.
Cureus ; 16(8): e66444, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39246990
ABSTRACT
Hirschsprung disease (HD) is a congenital disorder characterized by the absence of ganglion cells in the distal colon and rectum, leading to functional obstruction and severe constipation. Over the past decades, the surgical management of HD has significantly evolved, with minimally invasive surgery (MIS) techniques revolutionizing treatment approaches. This review explores recent innovations in MIS for HD, focusing on laparoscopic, transanal endorectal pull-through (TERPT), and robotic-assisted techniques. These approaches offer numerous advantages over traditional open procedures, including reduced surgical trauma, improved cosmesis, faster recovery times, and potentially lower complication rates. Laparoscopic surgery has become widely adopted, providing excellent visualization and precise dissection. TERPT has gained popularity for short-segment disease, offering a completely transanal approach with minimal scarring. Robotic-assisted surgery represents the cutting edge, enhancing surgical precision and dexterity. The review also examines emerging technologies and future directions, such as advanced imaging techniques, artificial intelligence applications, and potential developments in tissue engineering. While MIS techniques have shown promising outcomes, challenges remain in standardizing approaches, addressing long-segment disease, and optimizing long-term functional results. The future of HD surgery lies in personalized approaches that integrate genetic and molecular profiling with advanced surgical technologies. As the field continues to evolve, comprehensive long-term studies and efforts to improve access to specialized care will be crucial to further enhancing outcomes for patients with HD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos