Скачать или смотреть Hirschsprung Disease in Children: Symptoms, Diagnosis & Surgery | Dr. Anand Sinha Explains | Fortis

*In this video, Dr. Anand Sinha, Director of Pediatric Surgery at Fortis Hospital, Gurgaon, explains Hirschsprung Disease (HD)**, a congenital condition that causes **chronic constipation* in children. Dr. Sinha covers the **causes, symptoms, diagnosis**, and **surgical treatment options**, including **pull-through procedures**, and emphasizes the importance of early diagnosis. Post-surgical recovery, potential complications like **enterocolitis**, and management strategies are also discussed to guide parents through this condition.

*Key Topics Covered:*
1. *What is Hirschsprung Disease?* – A condition where missing nerve cells (ganglion cells) in the intestine cause difficulty passing stool.
2. *Diagnosis* – Tests like *barium enema**, **anorectal manometry**, and **rectal biopsy* help diagnose Hirschsprung Disease.
3. *Surgical Treatment* – **Pull-through surgeries**, done via **laparoscopy**, **robotic**, or open surgery, explained.
4. *Post-Operative Care* – Managing recovery and handling complications like **enterocolitis**.
5. *Importance of Early Diagnosis* – Early treatment prevents complications and ensures better long-term outcomes.

*Timestamps:*

1. *00:00 – 00:06 | Introduction*
Dr. Anand Sinha introduces himself and Fortis Hospital.

2. *00:07 – 00:30 | Overview of Hirschsprung Disease*
Explains what Hirschsprung Disease is and how it leads to chronic constipation.

3. *00:31 – 01:10 | Constipation in Hirschsprung Disease*
Differentiates between regular constipation and that caused by Hirschsprung Disease.

4. *01:11 – 02:00 | Role of Ganglion Cells*
How ganglion cells in the digestive system help push food and stool forward.

5. *02:01 – 03:10 | Disease Severity*
Severity varies based on how much of the intestine is affected.

6. *03:11 – 04:20 | Symptoms*
Common symptoms include constipation, bloating, and failure to thrive in children.

7. *04:21 – 05:10 | Diagnostic Tests*
*Barium enema**, **anorectal manometry**, and **rectal biopsy* help confirm the condition.

8. *05:11 – 06:30 | Rectal Biopsy Process*
How rectal biopsy confirms Hirschsprung Disease and guides the treatment.

9. *06:31 – 07:30 | Surgical Treatment*
Overview of **pull-through surgeries**, including laparoscopic, robotic, and open procedures.

10. *07:31 – 08:40 | Surgical Stages*
Discusses the 2-stage or 3-stage surgical approaches for children with dilated intestines.

11. *08:41 – 10:20 | Transanal Pull-Through Surgery*
A less invasive surgery option with no external scars.

12. *10:21 – 11:30 | Laparoscopy and Robotic Surgery*
Minimally invasive surgical approaches for better outcomes.

13. *11:31 – 12:10 | Types of Pull-Through Procedures*
*Soave's Pull-through**, **Swenson's**, and **Duhamel's Pull-through* explained.

14. *12:11 – 13:00 | Hospital Stay & Recovery*
Recovery duration (3–7 days) and how well children recover post-surgery.

15. *13:01 – 14:00 | Risks & Complications*
Importance of early treatment to avoid serious complications like **enterocolitis**.

16. *14:01 – 15:00 | Post-Surgery Care*
Managing colostomies and full recovery after surgery.

17. *15:01 – 16:10 | Success Rates & Outcomes*
Discussion of the excellent long-term prognosis for children.

18. *16:11 – 17:00 | Re-Operation Cases*
Managing complex cases where surgery has been unsuccessful in the past.

19. *17:01 – 17:24 | Conclusion*
Final thoughts on the importance of timely treatment for Hirschsprung Disease.

*FAQs:*

1. *What is Hirschsprung Disease?*
A congenital condition where ganglion cells are absent in parts of the large intestine, causing difficulty passing stool.

2. *How is Hirschsprung Disease diagnosed?*
It’s diagnosed through tests like *barium enema**, **rectal biopsy**, and **anorectal manometry* to detect missing ganglion cells.

3. *What are the treatment options?*
The main treatment is a **pull-through procedure**, which can be performed via laparoscopy, robotic surgery, or open surgery.

4. *Can Hirschsprung Disease be cured?*
Yes, with timely surgery, most children fully recover and live normal lives.

5. *What happens if treatment is delayed?*
Delaying treatment can lead to complications like **enterocolitis**, a life-threatening intestinal infection.

6. *How long is recovery after surgery?*
Recovery typically takes 3 to 7 days, depending on the child’s condition and the type of surgery.


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