Duhamel versus transanal endorectal pull through (TERPT) for the surgical treatment of Hirschsprung’s disease

• Published in: Techniques in coloproctology Vol. 20; no. 10; pp. 677 - 682
• Main Authors: Arts, E., Botden, S. M. B. I., Lacher, M., Sloots, P., Stanton, M. P., Sugarman, I., Wester, T., de Blaauw, I.
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01-10-2016; Springer Nature B.V
• Subjects: Abdominal Surgery; Anastomosis, Surgical - methods; Challenges in Pediatric Colorectal Surgery; Colectomy - methods; Colon - surgery; Colorectal Surgery; Consensus; Female; Gastroenterology; Hirschsprung Disease - surgery; Humans; Infant; Male; Medicin och hälsovetenskap; Medicine; Medicine & Public Health; Proctology; Rectum - surgery; Surgery; Transanal Endoscopic Surgery - methods; Treatment Outcome; Infant; Hirschsprung’s disease/surgery; Proctocolectomy; Newborn; Management of Hirschsprung’s disease; Restorative/methods
• ISSN: 1123-6337; 1128-045X; 1128-045X
• DOI: 10.1007/s10151-016-1524-5

For the surgical treatment of Hirschsprung’s disease, several surgical techniques are used to resect the distal aganglionic colon. Two frequently used techniques are the Duhamel procedure and the transanal endorectal pull-through procedure. During the ‘8th Pediatric Colorectal Course’ in Nijmegen, November 2015, a workshop was organized to share experiences of both techniques by several experts in the field and to discuss (long term) outcomes. Specifically, the objective of the meeting was to discuss the main controversies in relation to the technical execution of both procedures in order to make an initial assessment of the limitations of available evidence for clinical decision-making and to formulate a set of preliminary recommendations for current clinical care and future research.