The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of age
Abstract To evaluate the efficacy of laparoscopic-assisted Soave procedure of Hirschsprung’s Disease (HSCR) in neonates and infants within 3 months of age. Patients with HSCR who were admitted to the Department of Fetal and Neonatal Surgery of Hunan Children’s Hospital from June 2012 to July 2020 an...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2024-12-01
|
| Series: | Scientific Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1038/s41598-024-83422-3 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841559501987119104 |
|---|---|
| author | Renpeng Xia Tidong Ma Fan Zhao Yong Xiao Yong Feng Ming Li Chanjuan Zou Guang Xu Chonggao Zhou |
| author_facet | Renpeng Xia Tidong Ma Fan Zhao Yong Xiao Yong Feng Ming Li Chanjuan Zou Guang Xu Chonggao Zhou |
| author_sort | Renpeng Xia |
| collection | DOAJ |
| description | Abstract To evaluate the efficacy of laparoscopic-assisted Soave procedure of Hirschsprung’s Disease (HSCR) in neonates and infants within 3 months of age. Patients with HSCR who were admitted to the Department of Fetal and Neonatal Surgery of Hunan Children’s Hospital from June 2012 to July 2020 and underwent laparoscopic-assisted Soave procedure were selected. The clinical manifestations, surgical procedures, postoperative fecal contamination, constipation, enterocolitis, and defecation function were analyzed. A total of 267 children were included, 230 males and 37 females. Vaginal delivery occurred in 138 cases (51.7%) and cesarean delivery in 129 cases (48.3%). There were 217 cases (81.3%) of delayed excretion of meconium, preoperative HAEC (Hirschsprung’s Disease Associated enterocolitis) 116 cases (43.4%), postoperative HAEC 54 cases (20.2%), 1 cases of postoperative death, 266 cases (99.6%) were cured. There were 37 cases (13.9%) of long-segment type, 226 cases (84.6%) of common type, and 4 cases (1.5%) of short-segment type. Of the 267 cases, 214 cases were followed up (80.1%), 60 cases with fecal contamination, the incidence rate was 28.0%, and 5 cases were tertiary fecal contamination. The overall incidence of constipation was 3.7% (8 cases), and 2 cases were third-degree constipation. Evaluation of defecation function: The excellent rate was 94.4%. Laparoscopic-assisted Soave procedure in neonates and infants within 3 months of age is generally safe and feasible, most infants have good postoperative defecation function, and the incidence of postoperative fecal contamination, constipation, and enterocolitis is relatively low. |
| format | Article |
| id | doaj-art-69d690438d7444d085c2c53f8bc7fb9b |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-69d690438d7444d085c2c53f8bc7fb9b2025-01-05T12:26:31ZengNature PortfolioScientific Reports2045-23222024-12-011411510.1038/s41598-024-83422-3The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of ageRenpeng Xia0Tidong Ma1Fan Zhao2Yong Xiao3Yong Feng4Ming Li5Chanjuan Zou6Guang Xu7Chonggao Zhou8Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Department of Fetal & Neonatal Surgery, The Affiliated Children’s Hospital of Xiangya School of Medicine, Central South University (Hunan Children’s Hospital)Abstract To evaluate the efficacy of laparoscopic-assisted Soave procedure of Hirschsprung’s Disease (HSCR) in neonates and infants within 3 months of age. Patients with HSCR who were admitted to the Department of Fetal and Neonatal Surgery of Hunan Children’s Hospital from June 2012 to July 2020 and underwent laparoscopic-assisted Soave procedure were selected. The clinical manifestations, surgical procedures, postoperative fecal contamination, constipation, enterocolitis, and defecation function were analyzed. A total of 267 children were included, 230 males and 37 females. Vaginal delivery occurred in 138 cases (51.7%) and cesarean delivery in 129 cases (48.3%). There were 217 cases (81.3%) of delayed excretion of meconium, preoperative HAEC (Hirschsprung’s Disease Associated enterocolitis) 116 cases (43.4%), postoperative HAEC 54 cases (20.2%), 1 cases of postoperative death, 266 cases (99.6%) were cured. There were 37 cases (13.9%) of long-segment type, 226 cases (84.6%) of common type, and 4 cases (1.5%) of short-segment type. Of the 267 cases, 214 cases were followed up (80.1%), 60 cases with fecal contamination, the incidence rate was 28.0%, and 5 cases were tertiary fecal contamination. The overall incidence of constipation was 3.7% (8 cases), and 2 cases were third-degree constipation. Evaluation of defecation function: The excellent rate was 94.4%. Laparoscopic-assisted Soave procedure in neonates and infants within 3 months of age is generally safe and feasible, most infants have good postoperative defecation function, and the incidence of postoperative fecal contamination, constipation, and enterocolitis is relatively low.https://doi.org/10.1038/s41598-024-83422-3Hirschsprung diseaseDefecation functionConstipationEnterocolitis |
| spellingShingle | Renpeng Xia Tidong Ma Fan Zhao Yong Xiao Yong Feng Ming Li Chanjuan Zou Guang Xu Chonggao Zhou The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of age Scientific Reports Hirschsprung disease Defecation function Constipation Enterocolitis |
| title | The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of age |
| title_full | The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of age |
| title_fullStr | The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of age |
| title_full_unstemmed | The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of age |
| title_short | The efficacy analysis of laparoscopic-assisted Soave procedure for Hirschsprung’s disease in neonates and infants within 3 months of age |
| title_sort | efficacy analysis of laparoscopic assisted soave procedure for hirschsprung s disease in neonates and infants within 3 months of age |
| topic | Hirschsprung disease Defecation function Constipation Enterocolitis |
| url | https://doi.org/10.1038/s41598-024-83422-3 |
| work_keys_str_mv | AT renpengxia theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT tidongma theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT fanzhao theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT yongxiao theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT yongfeng theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT mingli theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT chanjuanzou theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT guangxu theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT chonggaozhou theefficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT renpengxia efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT tidongma efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT fanzhao efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT yongxiao efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT yongfeng efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT mingli efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT chanjuanzou efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT guangxu efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage AT chonggaozhou efficacyanalysisoflaparoscopicassistedsoaveprocedureforhirschsprungsdiseaseinneonatesandinfantswithin3monthsofage |