Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2014  |  Volume : 27  |  Issue : 2  |  Page : 274-277

Late postoperative complications after single-stage transanal endorectal pull-through for Hirschsprung's disease


1 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of General Surgery, Abu-El Reesh Insurance Hospital, Cairo, Egypt

Correspondence Address:
Mahmoud F Zalat
MBBCh, El-Gharbya Governature, Tanta
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.141675

Rights and Permissions

Objective The aim of the study was to assess the late postoperative complications after single-stage transanal endorectal pull-through for Hirschsprung's disease. Background Hirschsprung's disease is a common cause of bowel obstruction during the newborn period. One-stage surgery for Hirschsprung's disease is well established, and the results are comparable or better than multistage surgery. Patients and methods This was a retrospective study conducted at the Pediatric Surgery Unit of Department of General Surgery, Menoufia University Hospital and Abu-El Reesh Insurance Hospital between October 2007 and November 2011. This study included 20 patients with Hirschsprung's disease; there were 15 boys and five girls, their ages ranging from 6 months to 5 years. All these patients were subjected to transanal pull-through, and their data were retrieved by checking their files. Results The mean age of these patients was 32.1 ± 17.47 months. Rectal biopsy was diagnostic in all patients, whereas barium enema was diagnostic only in 16 patients. The mean operative time was 91.3 ± 11.89 min. The commonest postoperative complication was enterocolitis (30%); two patients (10%) were in need for frequent dilatation, three patients (15%) complained of rectal prolapse, two other patients (10%) complained of increased stool frequency, and finally four patients (20%) complained of recurring constipation. Conclusion Transanal pull-through is both feasible and safe for the management of patients with Hirschsprung's disease, and it is associated with acceptable morbidity.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1289    
    Printed6    
    Emailed0    
    PDF Downloaded122    
    Comments [Add]    

Recommend this journal