Laparoscopic assisted colon endorectal pull-through
Overview:
Laparoscopic assisted endorectal pull-through colon is minimally invasive surgery for Hirschsprung's disease; the part of the colon that does not have nerve cells is pulled through the anal canal and cut away, while the healthy end is sutured to the rectum. In addition to anal, surgical instruments, and a narrow lighted instrument with a video camera at the end (laparoscope) is inserted into the abdomen through four holes to mobilize the colon.
Also known as
• Colon repositioning
• Laparoscopic assisted endorectal colon primary pull-through
• Laparoscopic surgery causes: The main cause of these diseases are
• Hirschsprung's disease
• Bowel obstruction
• congenital aganglionosis
Diagnosis: …show more content…
He or she may recommend one or more of the following tests to diagnose or exclude Hirschsprung's disease:
• Abdominal X-ray using a contrast dye. Barium or other contrast medium is placed in the intestine through a special tube inserted into the rectum. The barium fills and coats the lining of the intestine, creating a clear silhouette of the colon and rectum.
X-rays often show a sharp contrast between the narrow section of the intestine, with no nerves and normal section, but often swollen bowel behind it.
• the control of the muscles around the rectum measurement. A manometry test is usually done on older children and adults. The doctor inflates a balloon inside the rectum. The muscle that surrounds should relax accordingly. Otherwise, Hirschsprung disease could be the cause.
• Removing a sample of colon tissue for testing (biopsy). This is the safest way to identify Hirschsprung disease. A biopsy sample can be collected using a suction device, and then examined under a microscope to determine whether the nerve cells are missing.
Procedure: laparoscopic approach: the determination of the level of intestinal
Overview:
Laparoscopic assisted endorectal pull-through colon is minimally invasive surgery for Hirschsprung's disease; the part of the colon that does not have nerve cells is pulled through the anal canal and cut away, while the healthy end is sutured to the rectum. In addition to anal, surgical instruments, and a narrow lighted instrument with a video camera at the end (laparoscope) is inserted into the abdomen through four holes to mobilize the colon.
Also known as
• Colon repositioning
• Laparoscopic assisted endorectal colon primary pull-through
• Laparoscopic surgery causes: The main cause of these diseases are
• Hirschsprung's disease
• Bowel obstruction
• congenital aganglionosis
Diagnosis: …show more content…
He or she may recommend one or more of the following tests to diagnose or exclude Hirschsprung's disease:
• Abdominal X-ray using a contrast dye. Barium or other contrast medium is placed in the intestine through a special tube inserted into the rectum. The barium fills and coats the lining of the intestine, creating a clear silhouette of the colon and rectum.
X-rays often show a sharp contrast between the narrow section of the intestine, with no nerves and normal section, but often swollen bowel behind it.
• the control of the muscles around the rectum measurement. A manometry test is usually done on older children and adults. The doctor inflates a balloon inside the rectum. The muscle that surrounds should relax accordingly. Otherwise, Hirschsprung disease could be the cause.
• Removing a sample of colon tissue for testing (biopsy). This is the safest way to identify Hirschsprung disease. A biopsy sample can be collected using a suction device, and then examined under a microscope to determine whether the nerve cells are missing.
Procedure: laparoscopic approach: the determination of the level of intestinal