{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:48:09Z","timestamp":1772639289338,"version":"3.50.1"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Hirschsprung disease (HD) is commonly managed by single-stage transanal pull-through (SS-TAPT). While effective, the classical technique involves time-consuming steps, including stay sutures for mucosal traction. We present a simplified SS-TAPT approach that omits stay sutures (sutureless traction technique), reducing operative time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A retrospective study of 26 infants (age 2\u201312 months) undergoing SS-TAPT without stay sutures at three hospitals (2022\u20132024). The transition zone was identified preoperatively (contrast enema) or intraoperatively in 17 cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Median operative time was 55 min (range: 50\u201380), with resected segments measuring 7\u201325 cm. All patients resumed oral feeding within 1\u20133 days. At a mean follow-up of 21 months, no complications (strictures, leaks) were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Sutureless traction technique simplifies SS-TAPT, shortening operative time and maintaining safety. Long-term continence assessment is ongoing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111407","type":"journal-article","created":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T17:55:43Z","timestamp":1746381343000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Transanal pull-through procedure without stay sutures for Hirschsprung's disease: A retrospective case series study"],"prefix":"10.1097","volume":"131","author":[{"given":"Naser","family":"El-Mefleh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aya","family":"Nakwan","sequence":"additional","affiliation":[{"name":"Free Aleppo University, Aleppo, Syria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"9","key":"R1-88-20260304","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1007\/s00383-009-2428-5","article-title":"Primary transanal Swenson pull-through operation for Hirschsprung's disease","volume":"25","author":"Sookpotarom","year":"2009","journal-title":"Pediatr. Surg. Int"},{"issue":"3","key":"R3-88-20260304","doi-asserted-by":"crossref","first-page":"188","DOI":"10.3126\/jnps.v34i3.11617","article-title":"Early experience with single-stage transanal endorectal pull through for rectosigmoid Hirschsprung's disease","volume":"34","author":"Shrestha","year":"2015","journal-title":"J. Nepal Paediatr. Soc"},{"issue":"3","key":"R4-88-20260304","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1097\/00000658-200009000-00009","article-title":"A decade of experience with the primary pull-through for Hirschsprung disease in the newborn period","volume":"232","author":"Teitelbaum","year":"2000","journal-title":"Ann. Surg"},{"issue":"8","key":"R5-88-20260304","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1016\/S0022-3468(98)90169-5","article-title":"Transanal endorectal pull-through for Hirschsprung's disease","volume":"33","author":"De la Torre-Mondrag\u00f3n","year":"1998","journal-title":"J. Pediatr. 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