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Complications

  • Masato ShinkaiEmail author
  • Kyoko Mochizuki
  • Norihiko Kitagawa
  • Hidehito Usui
Chapter

Abstract

The majority of patients with Hirschsprung’s disease have an excellent postoperative outcome after definitive surgeries, i.e. classical pull-through procedures and contemporarily well-received minimally invasive procedures (laparoscopic or trans-anal approach).

Early postoperative complications and mortality are rare these days; however, later complications such as enterocolitis, constipation, and incontinence still remain an important issue affecting the quality of life of the patients. There have been a lot of unsolved questions with respect to correlation between surgical procedures and later complications, appropriate management for the complications (conservative or interventional), and how to prevent the complications. Close and long-term follow-up based on intra- or interinstitutionally shared standard of assessment and surgical procedures is mandatory to precisely analyze the outcomes and overcome those complications.

Keywords

Hirschsprung’s disease Complication Postoperative Enterocolitis Constipation Incontinence Trans-abdominal Trans-anal Laparoscopic 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Masato Shinkai
    • 1
    Email author
  • Kyoko Mochizuki
    • 1
  • Norihiko Kitagawa
    • 1
  • Hidehito Usui
    • 1
  1. 1.Kanagawa Children’s Medical CenterYokohamaJapan

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