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Objective To introduce a new treatment of irritable nerve ganglion cell disease radical surgery. Methods 52 cases of intestinal ganglion cell disease in children passing through the anus and rectum a colectomy helical anastomosis, statistics operative time, blood loss, hospital stay, hospital stool, follow-up. Results There were no deaths, no intraoperative complications, aged 0 to 1 mean operative time was 70.50 minutes, the mean intraoperative blood loss was 14.5ml; 3 months to 3 years old and the average operative time was 77.26 minutes, the mean intraoperative blood loss was 20 ml;> 3-year-old average operative time was 122.8 minutes, mean blood loss volume of 40 ml. No case after use of analgesics. Before postoperative day, two days a solution of 4 to 10 loose stools, after 1 week solution of 2 to 5 times a day stool, most of the stool has been formed, no postoperative infection, anastomotic leakage, anastomotic dehiscence. The average hospital stay of one week. Of which 39 cases were followed up for 2 to 30 months, recovered well. All follow-up cases of urine are normal, no case of soiling, fecal incontinence, anal stenosis, including 35 males, have a penile erection. Less than 3 years old in 38 cases, in 2 months after surgery to restore normal stool, 1 year old, 2 to 4 times / day, 1 to 3 years, 1 or 2 times / day; June 1, 7-year-old patients after six months recovery normal stool. The 3 patients February enterocolitis about recovery, infusion therapy. 20 cases of anorectal manometry, 4 patients presented with the RAIR reflection. Conclusion anorectal colectomy oblique anastomosis in the treatment of intestinal ganglion cell disease has the advantages of less trauma, less bleeding, shorter operative time, retained rectum receptors, less costly, faster recovery, fewer complications, and the recent mid-term results were satisfactory. Suitable for infants and young children, especially infants. The purpose of a PE? Congenital anal atresia clinical feasibility and effectiveness of a treatment neonatal high. Methods 48 cases of neonatal congenital anal atresia line a PE? A surgery, of which 31 cases were 2 months to 4 years 4 months follow-up, a retrospective analysis of clinical and follow-up data. Results After 1 patient with lung infection increased respiratory and circulatory failure and death, two cases of incision dehiscence, I recovered well. 31 patients adhere to follow-up in February to April 4, three cases of constipation, fecal pollution in the three cases of loose stools, fecal pollution in cases of force, two cases of rectal prolapse, one case of wound infection, one case of anal stenosis (not adhere due to anal). No complete fecal incontinence, fistula recurrence, urinary retention and other complications. 17 patients with high anal atresia postoperative anorectal manometry, 3 cases RAIR. Conclusion of a PE (n | to) a surgical treatment of congenital anal atresia, postoperative anal function well, early interim results were satisfactory, a PE (N | -) A surgery is a minimally invasive, less costly, beautiful, simple surgery.
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