Comparative Study between One Stage Total Transanal Endorectal Pullthrough and Assisted Transanal Soave for Treatment of Hirschsprung’s Disease
H.Ahmed, H., . Abd Elmofeed, A., M. Abd Elwahab, M., M. Kilany, E., A. Albaghdady, A. (2015). Comparative Study between One Stage Total Transanal Endorectal Pullthrough and Assisted Transanal Soave for Treatment of Hirschsprung’s Disease. EKB Journal Management System, 8(2), 186-203. doi: 10.21608/asjs.2015.195110
Hisham H.Ahmed; Ayman M . Abd Elmofeed; Mohammed M. Abd Elwahab; Elsayed M. Kilany; Ayman A. Albaghdady. "Comparative Study between One Stage Total Transanal Endorectal Pullthrough and Assisted Transanal Soave for Treatment of Hirschsprung’s Disease". EKB Journal Management System, 8, 2, 2015, 186-203. doi: 10.21608/asjs.2015.195110
H.Ahmed, H., . Abd Elmofeed, A., M. Abd Elwahab, M., M. Kilany, E., A. Albaghdady, A. (2015). 'Comparative Study between One Stage Total Transanal Endorectal Pullthrough and Assisted Transanal Soave for Treatment of Hirschsprung’s Disease', EKB Journal Management System, 8(2), pp. 186-203. doi: 10.21608/asjs.2015.195110
H.Ahmed, H., . Abd Elmofeed, A., M. Abd Elwahab, M., M. Kilany, E., A. Albaghdady, A. Comparative Study between One Stage Total Transanal Endorectal Pullthrough and Assisted Transanal Soave for Treatment of Hirschsprung’s Disease. EKB Journal Management System, 2015; 8(2): 186-203. doi: 10.21608/asjs.2015.195110

Comparative Study between One Stage Total Transanal Endorectal Pullthrough and Assisted Transanal Soave for Treatment of Hirschsprung’s Disease

Ain Shams Journal of Surgery
Article 7, Volume 8, Issue 2, July 2015, Page 186-203  XML PDF (3.59 MB)
DOI: 10.21608/asjs.2015.195110
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Authors
Hisham H.Ahmed1; Ayman M . Abd Elmofeed1; Mohammed M. Abd Elwahab1; Elsayed M. Kilany1; Ayman A. Albaghdady2
1Departments of General Surgery, Benha University, Benha, Egypt.
2Pediatric Surgery Department, Ain Shams University Hospitals.
Abstract
Purpose: Was to compare one stage total transanal endorectal pullthrough and assisted transanal Soave (either by minilaparotomy or laparoscopy) for treatment of Hirschsprung’s disease. Patients and methods: This study was conducted on 40 pediatric patients with Hirschsprung’s disease. The patients were divided into two groups; group (A); 20 cases with one stage total transanal endorectal pullthrough, and group (B); 20 cases with assisted transanal Soave (10 cases mini-laparotomy (B1 ) and 10 cases laparoscopy (B2 )). Results: Mean age of patients was 20.01 months for group A and 17.14 months for group B. The ratio of male to female was 3:1 and P value was highly significant <0.001. The mean operative time in group A was 102 min. While in group B it was 117 min. The onset of oral feeding in group A was with mean of 1.7 ±0.86 days while in group B with mean of 2.25 ±0.97days. The mean postoperative hospital stay in group A was 4.2 ±1.73 days and in group B was 5 ±1.87days. Complications were more common in group B than group A, and more common in subgroup B1 than B2 . Conclusion: Transanal endorectal pull-through is characterized by a shorter operating time, less bleeding, shorter hospital stay, less morbidity and earlier recovery than similar open pull-through procedures.
Keywords
Hirschsprung’s disease; transanal endorectal pull-through; assisted transanal
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