Affiliation:
1. Department of Paediatric Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
Abstract
ABSTRACT
Background:
Rectal biopsies are a common procedure used to diagnose various conditions and diseases in children and full-thickness rectal biopsy (FTRB) is the gold standard to diagnose the case of Hirschsprung disease. The traditional method of performing rectal biopsy involves the use of a Langenbeck or Deaver’s retractor to retract the anal canal. This method is ineffective in exposing the surgical site due to the large size of the retractor and the constraints of space, and it can also cause serious complications if not applied carefully.
Methods:
Sixteen patients were included in the study, who all underwent FTRB. Redkar’s technique was applied to all for ease of retraction and visualization. Technique was standardized and procedure time was noted in all cases.
Results:
Of all 16 cases that were enrolled, the male-to-female ratio was 1:1. The mean age of patients was 91.87 months, and the average time taken for surgery was 5.062 min. The average cost involved for the retractor was <50 INR, i.e., <1 USD.
Conclusions:
It improves the accuracy and safety of the procedure, reduces discomfort and trauma for young patients, reduces cost burden on families, and improves the efficiency of the biopsy procedure.