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The goal of this clinical trial is to compare the surgical and functional outcomes of pure transanal endorectal pull-through (TAERPT) and laparoscopic-assistance endorectal pull-through (LAERPT) in pediatric patients presented with Hirschsprung's Disease between 3 months and 18 years old.
The main questions our study aims to answer are:
Participants will be divided into two groups; 40 patients will be treated by TAERPT and included in Group A and 30 patients will be treated by LAERPT and included in Group B.
Introduction: One-stage treatment of endorectal pull-through for Hirschsprung's disease could be approached through a complete transanal approach or with the assistance of laparoscopy. Our study aims to compare the surgical and functional outcomes of pure transanal endorectal pull-through (TAERPT) and laparoscopic-assistance endorectal pull-through (LAERPT). Material & methods: This retrospective study included 70 pediatric patients presented with Hirschsprung's Disease to Elshatby University Hospital. 40 patients were treated by TAERPT and included in Group A and 30 patients were treated by LAERPT and included in Group B. The two groups were compared as regards the operative data as well as the post-operative outcomes including the time of passage of stools, time of tolerating oral feeding, the duration of hospital stay, and the development of any early postoperative complications. Also, the number of bowel habits, constipation, enterocolitis, abdominal distension, anastomotic stricture, and continence were assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | Pediatric patients presented with Hirschsprung's disease treated by pure transanal endorectal pull-through (TAERPT) |
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| Group B | Active Comparator | Pediatric patients presented with Hirschsprung's disease treated by laparoscopic-assistance endorectal pull-through (LAERPT) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group A: Pure transanal endorectal pull-through (TAERPT) | Procedure | Patients of Group A will be treated totally by pure transanal endorectal pull-through without the assistance of laparoscopy |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative continence | The two groups will be compared according to post-operative continence whether continent or incontinent by using Abbreviated Baylor Social Continence Scale. the sore ranges from 0 to 24 with the minimum score revealing an excellent result and the highest score revealing the worst result. (Excellent = 0-5, Good = 7-12, Fair = 13-18, Poor = 19-24) | One post-operative year |
| Post-operative constipation | The two groups will be compared according to post-operative constipation whether present or not | One post-operative year |
| Post-operative soiling | The two groups will be compared according to post-operative soiling whether present or not | One post-operative year |
| Post-operative enterocolitis | The two groups will be compared according to post-operative enterocolitis whether present or not | One post-operative year |
| Post-operative complications | The two groups will be compared according to post-operative complications whether present or not | One post-operative year |
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Inclusion Criteria
* Pediatric patients with age range between 3 months and 18 years old presented with Hirschsprung's Disease who were confirmed to have this condition by contrast enema and/or rectal biopsy.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ahmed El Rouby | Alexandria | 12345 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39922991 | Derived | Elrouby A, Shehata S, Waheeb S, Khairi A, AbdAl-Aziz D, Looka B. One stage transanal versus one stage laparoscopic-assisted transanal endorectal pull-through in managing Hirschsprung's disease in pediatric age group; a retrospective study. BMC Surg. 2025 Feb 8;25(1):59. doi: 10.1186/s12893-025-02768-1. |
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| Group B: Laparoscopic-assistance endorectal pull-through (LAERPT) | Procedure | Patients of Group B will be treated transanal endorectal pull-through but with the assistance of laparoscopy |
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