Total Colonic Hirschsprung's Disease: The Hypermotility and Skin Rash Protocol.
Alejandra Vilanova SanchezMonica IvanovDevin R HalleranAndrea WagnerCarlos Albert Reck-BurneoBrenda RuthMeghan FIsherHira AhmadLaura WeaverOnnalisa NashDanielle BukerRebecca Maria RenteaErin HooverTassiana MaloofRichard J WoodMarc A LevittPublished in: European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie (2019)
TCHD patients who underwent definitive pull through had nine high incidence of multiple stool, perineal rash, and low growth. With the implementation of bowel management care to slow the stools and a perineal skin protocol to treat the skin, we believe that these symptoms can be minimized even in patients who are not toilet trained. Since the implementation of this protocol, we have changed our practice to perform the pull through in such patients between the age of 6 and 18 months.