bandage-green

Hirschsprung Pull-Through

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lithotomy, arms tucked, Bed turned 90 degrees
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Caudal
Considerations : Aspiration risk / Full stomach

Anesthetic Approaches

1GETT, Epidural
2GETT, Nerve Block
The Surgery

Diagnosis - a contrast enema suggests the transition zone and a rectal biopsy confirms the disease by showing absence of ganglion cells. Leveling - laparoscopy, an umbilical incision, or a left lower...

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