One Stage Transanal Swenson-Like Pull-Through Operation: Our Early Experience

  • Nita Mariana Paediatric Surgery Division, Department of Surgery, Medical Faculty of Hasanuddin University, Makassar, South Sulawesi
  • Farid Nur Mantu Paediatric Surgery Division, Department of Surgery, Medical Faculty of Hasanuddin University, Makassar, South Sulawesi
  • Andi Asadul Islam Neurosurgery Division, Department of Surgery, Medical Faculty of Hasanuddin University, Makassar, South Sulawesi
  • Warsinggih Warsinggih Paediatric Surgery Division, Department of Surgery, Medical Faculty of Hasanuddin University, Makassar, South Sulawesi
  • Nasrum Massi Neurosurgery Division, Department of Surgery, Medical Faculty of Hasanuddin University, Makassar, South Sulawesi
  • Mochammad Hatta Neurosurgery Division, Department of Surgery, Medical Faculty of Hasanuddin University, Makassar, South Sulawesi
  • Harris Bartimeus Paediatric Surgery Division, Department of Surgery, Medical Faculty of Hasanuddin University, Makassar, South Sulawesi
Keywords: Hirschsprung Disease, Rectosigmoid, Transanal.

Abstract

Operative management of Hisrchsprung Disease (HD) has evolved from staged operation to one stage minimal invasive operation.  One stage transanal Swenson-like pullthrough operation is the latest concept of one stage procedure in managing HD.  We evaluate early outcome of one stage transanal Swenson-like pullthrough operation for managing PH located at rectosigmoid in our institution during 2017.  Our follow up evaluate the incidence of post operative stricture or stenosis, anastomotic leakage, enterocolitis, urinary dan defecating function.  Six patients underwent transanal resection with age ranging from 11 months to 5 years.  Average length of resected intestinal is 10 ± 5 cm.  Mostly, patient came back to office after 3 months.  No post operative incidence of urethral injury, anastomotic leakage or retraction at anastomotic site were reported.  There were  reports of 1 patient with intraoperative bleeding, 1 patient anal excoriation due to enterocolitis and 1 patient with stenosis.  There were no patient reported with urinating and defecating disorders.  There were no mortality incidence in this study. Despite the need of long term observation for evaluating urinating and defecating function, modification of transanal Swenson-like method might be used in managing HD.

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Published
2019-07-27
Section
Articles