Transcript Seyed Mohammad Vahid Hosseini

Role of bulking agents in improving
continence postoperatively in
patients with Hirschsprung’s disease
and Anorectal malformations
Seyed Mohammad Vahid Hosseini
Department of Pediatric Surgery and Urology, Hormozgan
Hemmorhoidal vessle
closure during separation
of common wall(text ped
surg 2013)
2-defective IS &ES
3-Defective closure
Continence1IS&ES2Sensation3-anal
Closure4-type of
passing material
1-correct
anal closure
2-increase
HPZ
3-in
sensation
1-decrease HPZ
2-Sensation
3-type of pssing
through
4-evertion
Hirschsprungs dx
Anorectal malformation
35 children with fecal incontinence after pullthrough, who presented to our unit from
January 2008 to [w1] February 2012
• Results: Manometry finding before
and 6-month after
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[w1]Please
check if the edits in the sentence are fine.
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intervention was 21.8±4.2 and 25.2±4.7 mmH20,
respectively. High pressure zone area changes from
1.98±0.63 to 2.8±0.75 cm (P < 0.0001). Before
intervention, all of patient had history from soil age
to
complete incontinency. However, after intervention
and
6-12month follow-up near sixty percent of patient
were
continent without history of significant soil age.
However,
there was a significant improvement in the overall
continence grading scale scores post bulking
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