Hirschsprung's disease is a congenital disorder that affects the large intestine (colon) of the baby due to missing nerve cells in the muscles of the baby's colon. It causes problems with passing stool.
Symptoms of Hirschsprung’s Disease
A new-born with Hirschsprung's disease is not able to have a bowel movement within 48 hours after birth. In addition to this, following symptoms may also occur:
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Swelling over belly
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Green or brown coloured vomiting
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Constipation or gas
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Irritated baby
Diagnosis of Hirschsprung’s Disease
Physical examination along with the following tests helps in the diagnosis of Hirschsprung’s Disease:
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Abdominal X-ray using a contrast dye
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Manometry test to measure control of the muscles around the rectum
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Biopsy of colon
Laparoscopic Surgery for Hirschsprung’s Disease
Hirschsprung’s Disease requires surgical management. It is performed under general anaesthesia through small incisions. It involves bypass of the part of the colon that has no nerve cells by stripping away the lining of the diseased part of the colon, followed by pulling down of the normal colon through the colon from the inside and attaching it to the anus. The procedure is performed through the anus.
Advantages of Laparoscopic Surgery for Hirschsprung’s Disease
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Less damage to the surrounding tissues
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Faster recovery
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Only few hours or overnight hospitalization
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Earlier ambulation
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Sooner return to work
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Very less pain during and after the procedure
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Smaller incisions
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Negligible risks and complications
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Less chances of wound infection
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Early ambulation
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High success rate
