HIGH-PRESSURE OXYGEN INSUFFLATION TO FACILITATE SUBMUCOSAL DISSECTION IN SOAVES OPERATION


BALIK E., OZOK G. , AVANOGLU A. , ULMAN I. , TANELI C., HEREK O.

PEDIATRIC SURGERY INTERNATIONAL, vol.9, no.5-6, pp.459-460, 1994 (Journal Indexed in SCI) identifier

  • Publication Type: Article / Article
  • Volume: 9 Issue: 5-6
  • Publication Date: 1994
  • Title of Journal : PEDIATRIC SURGERY INTERNATIONAL
  • Page Numbers: pp.459-460
  • Keywords: HIRSCHSPRUNGS DISEASE, CHILDREN, TREATMENT, SOAVES OPERATION, SURGICAL TECHNIQUE

Abstract

The aim of the present study is to demonstrate a new, simple method of facilitating the submucosal dissetion that is the most difficult and time-consuming part of Soave's operation. For rectal submucosal dissection, oxygen under high pressure is insufflated via a needle inserted into the submucosal space at a level just above the peritoneal reflection of the rectum down to the anal canal. The technique has been successfully used in 35 cases of Hirschsprung's disease. A considerable reduction in the operating time and the incidence of iatrogenic mucosal perforations could be achieved. We conclude that the method is time-saving and provides safety during a period of the operation where scrupulous care is needed.