Page 13 - WJOLS - Journal of Laparoscopic Surgery
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          noted an increased number of episodes of enterocolitis  under vision. Adequate length of colon can be dissected.
          postoperatively, and perineal excoriation also was noted  Total colonic aganglionosis must be treated with lapa-
          as a major problem that gradually resolved.         roscopically assisted transanal pull-through procedure.
             These difficulties were overcome by the laparoscopy-
          assisted transanal pull-through approach. The laparos-  REFERENCES
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          and external scarring. There is rapid recovery and less     8.  Georgeson KE, Cohen RD, Hebra A, Jona JZ, Powell DM,
          perianal excoriation. It has also been mentioned about   Rothenberg SS, Tagge EP. Primary laparoscopy assisted
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                                                                  a new gold standard. Ann Surg 1999 May;229(5):678-682;
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          zone, endorectal dissection has become the dominant     10.  Teitelbaum DH, Cilley RE, Sherman NJ, Bliss D, Uitvlugt ND,
                                                                  Renaud EJ, Kirstioglu I, Bengston T, Coran AG. A decade of
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          makes it universal. Also, there is no abdominal scaring and     11.  Westler T, Rintala RJ. Early outcome of transanal endorectal
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                                                                12.  Minford JL, Ram A, Tunock RR, Lamant GL, Kenny SE, Rental RJ,
          SUMMARY                                                 Lloyd DA, Baille CT. Comparison of functional outcome of
                                                                  Duhamel and transanal endorectal coloanal anastomosis for
          Laparoscopy has improved the outcome and management     Hirschsprung’s disease. J Pediatr Surg 2004 Feb;39(2):161-165.
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