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. Author manuscript; available in PMC: 2022 Sep 1.
Published in final edited form as: J Pediatr Surg. 2021 Mar 28;56(9):1513–1523. doi: 10.1016/j.jpedsurg.2021.03.046

Table 2.

Types of surgery for LSHD

Technique Papers
(N=24)*
Patients
(N=449)**
Comments
Duhamel 11(45%) 228 (50%) • Papers do not differentiate LSHD from TCA
• >40% incidence of incontinence (not unique to Duhamel)
Left colon patch (Martin) 5 (20%) 94 (21%) • Technically difficult vs. Duhamel or Soave
• Long-term dilation of colon pouch requiring revisional surgery
Soave/Swenson 6 (25%) 60 (13%) • Outcomes similar to Duhamel
• Stool frequency decreases after ileal adaption
Right colon patch (Kimura) 4 (18%) 19 (4%) • Primarily used for Small Intestinal HD
• Long-term dilation requiring revisional surgery
Ileoanal +/− Pouch 4 (16%) 40 (8 %) • High failure rates/need for revision
Small bowel transplantation 2 (8%) 8 (1.8%) • Rare due to advances in intestinal rehabilitation
• Only appropriate for total intestinal HD
(*)

denotes number of articles, some articles contain multiple types of surgical procedures

(**)

denotes number of total patients that had surgery for HD, and excludes if cases can’t be assigned to a specific operation, i.e., some studies grouped patients without identifying the numbers of cases of the specific operation.