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Department of Pediatric Surgery and Urology, Hormozgan

Role of bulking agents in improving continence postoperatively in patients with Hirschsprung’s disease and Anorectal malformations. Seyed Mohammad Vahid Hosseini. Department of Pediatric Surgery and Urology, Hormozgan.

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Department of Pediatric Surgery and Urology, Hormozgan

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  1. Role of bulking agents in improving continence postoperatively in patients with Hirschsprung’s disease and Anorectal malformations Seyed Mohammad Vahid Hosseini Department of Pediatric Surgery and Urology, Hormozgan

  2. Hemmorhoidal vessle closure during separation of common wall(text ped surg 2013) 2-defective IS &ES 3-Defective closure Continence1-IS&ES2-Sensation3-anal Closure4-type of passing material 1-correct anal closure 2-increase HPZ 3-in sensation 1-decrease HPZ 2-Sensation 3-type of pssing through 4-evertion

  3. Hirschsprungs dx Anorectal malformation 35 children with fecal incontinence after pull-through, who presented to our unit from January 2008 to [w1]February 2012 • Results: Manometry finding before and 6-month after • intervention was 21.8±4.2 and 25.2±4.7 mmH20, • respectively. High pressure zone area changes from • 1.98±0.63 to 2.8±0.75 cm (P < 0.0001). Before • intervention, all of patient had history from soil age to • complete incontinency. However, after intervention and • 6-12month follow-up near sixty percent of patient were • continent without history of significant soil age. However, • there was a significant improvement in the overall • continence grading scale scores post bulking [w1]Please check if the edits in the sentence are fine.

  4. REFERENCES . 1-Davis K, Kumar D, Poloniecki J. Preliminary evaluation of an injectable anal sphincter bulking agent (Durasphere) in the management of faecal incontinence. Aliment Pharmacol Ther 2003;18:237-43. 2-Hosseini SM, Foroutan HR, Bahador A, Khosravi MB, Geramizadeh B, Sabet B, et al. Role of rectal biopsy in predicting response to intrasphincteric botulinum toxin injection for obstructive symptoms after a pullthrough operation. Indian J Gastroenterol 2008;27:99-102. 3-Foroutan HR, Hosseini SM, Banani SA, Bahador A, Sabet B, Zeraatian S, et al. Comparison of botulinium toxin injection and posterior anorectal myectomy in treatment of internal anal sphincter achalasia. Indian J Gastroenterol 2008;27:62-5. Hosseini SM, Foroutan HR, Zeraatian S, Sabet B. Botulinium toxin, as bridge to transanal pullthrough in neonate with Hirschsprungs disease. J Indian Assoc Pediatr Surg 2008;13:69-71. 4-Hosseini SM, Zarenezhad M, Sabet B, Maleki M. Bulking agent injection for fecal incontinence in patients with anorectal malformation. Arch Int Surg 2012;2:70-3. 5-Hosseini SM, Zarenezhad M, Hedjazi A, Khazdooz M, Falahi S. Treatment of constipation in children based on anorectal manometery findings. Ann Nigerian Med 2012;6:22-5. 6-Shafik A. Perianal injection of autologous fat for treatment of sphincteric incontinence. Dis Colon Rectum 1995;38:583-7. 7-Kumar D, Benson MJ, Bland JE. Glutaraldehyde cross-linked collagen in the treatment of faecal incontinence. Br J Surg 1998;85:978-9. 8-Prabhudesai A, Kumar D, Bland J. A correlation of anal sphincter defects and sphincter pressures in patients with faecal incontinence. Colorectal Dis 2001;3:80.

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