Evidence map›Paper›PMID 39922991›Full record

Trial reportBMC surgery2025

One stage transanal versus one stage laparoscopic-assisted transanal endorectal pull-through in managing Hirschsprung's disease in pediatric age group; a retrospective study.

Ahmed Elrouby, Sameh Shehata, Saber Waheeb, Ahmed Khairi, Doaa AbdAl-Aziz, Baher Looka

Registry-linked trialAbstract readClinical TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06419998 (One Stage Transanal Versus One Stage Laparoscopic-assisted Transanal Endorectal Pull-through in the Management of Hirschsprung's Disease in Pediatric Age Group; A Retrospective Study.), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06419998 nacompletednot on this map

One Stage Transanal Versus One Stage Laparoscopic-assisted Transanal Endorectal Pull-through in the Management of Hirschsprung's Disease in Pediatric Age Group; A Retrospective Study.

TypeinterventionalSponsorEgyptian Biomedical Research NetworkRan2023 to 2023Enrolled70ConditionsPediatric Disorder, Hirschprung's DiseaseArmsGroup A: Pure transanal endorectal pull-through (TAERPT), Group B: Laparoscopic-assistance endorectal pull-through (LAERPT)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ahmed ElroubyDepartment of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt. elroubypaedo@gmail.com.ORCID http://orcid.org/0000-0002-7339-0244
Sameh ShehataDepartment of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Saber WaheebDepartment of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Ahmed KhairiDepartment of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Doaa AbdAl-AzizDepartment of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Baher LookaDepartment of Pediatric Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of Hirschsprung's disease has evolved from the conventional route to the minimally invasive route in one stage either from the pure transanal route or with the assistance of laparoscopy. Our study compared the surgical and functional outcomes of both approaches.

methodsOur retrospective study included 72 pediatric patients presented with Hirschsprung's Disease to Elshatby University Hospital, 40 patients were treated by TAERPT (Group A) and 32 patients were treated by LAERPT (Group B). The two groups were compared as regards the personal data, the operative data, and the post-operative outcomes including the time of passage of stools, time of tolerating oral feeding, the duration of hospital stay, and the development of any early postoperative complications. Moreover, the frequency of defecation, constipation, enterocolitis, anastomotic stricture, and continence were assessed.

resultsThe age at operation was significantly lower (p < 0.001

conclusionsEndorectal pull-through for the treatment of Hirschsprung's disease could be approached either completely transanal or with the assistance of laparoscopy with nearly similar surgical and functional outcomes, however a longer operative duration with a shorter anal stage is recorded with the laparoscopic assistance. Furthermore, a shorter hospital stay could be achieved with the aid of laparoscopy.

trial registrationProtocol ID: 0306356, Registration number: NCT06419998, 20/05/2024 - Retrospectively registered.

Indexed as

Hirschsprung DiseaseLaparoscopyTransanal Endoscopic SurgeryAnal CanalChildChild, PreschoolFemaleHumansInfantLength of StayMaleOperative TimePostoperative ComplicationsRectumRetrospective StudiesTreatment OutcomeLaparoscopyOne-stageOutcomesSoaveTransanal

Identifiers

PMID39922991
PMCPMC11806882

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.