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- Title
LAPROSCOPIC ASSISTED SWENSON PULL-THROUGH FOR CLASSIC HIRSCHSPRUNG'S DISEASE WITH SIGMOID COLOSTOMY: A SINGLE CENTER EXPERIENCE.
- Authors
Ali, Sajjad; Rehman, Inayat ur; Waheed, Tariq; Imran, Mohammad; Abdullah, Farooq; Amin, Hazrat
- Abstract
OBJECTIVE: To share our experience of laparoscopic assisted Swenson pullthrough for classic Hirschsprung's disease (HD) with sigmoid colostomy. METHODS: Thirty-one patients with HD and sigmoid colostomy operated in Pediatric Surgery department, Khyber Teaching Hospital, Peshawar, Pakistan, between June 2014 and June 2018 were included. Patients with long segment HD, and those operated elsewhere were excluded from the study. Demographic characteristics, intraoperative findings and post operative course were retrieved rd th th from files. Post-operative outcome at 3, 6 and 12 month follow ups were taken from follow up charts. RESULTS: Mean age and weight of patients were 13.23±1.76 months and 7.89±1.42 kg, respectively. Male to female ratio was 6.75:1. Mean operative time, duration of urinary catheterization and hospital stay were 171.87±15.76 min, 0.79±1.02 days and 5.91±1.01 days, respectively. After surgery, stool consistency was liquid in 12 (61.29%) and loose in 12 (38.7 %) patients. However, stool frequency was >3 times/day in 10 (32.25%) cases, 2-3 times/day in 18 (58.06%) patients and 0-1 time/day in 3 (9.67%) patients. Surgical site infection and perianal excoriation were seen in 2 (6.45%) and 11 (35.48%) patients, respectively. th Progressive improvement in stool consistency and frequency was noticed at 12 rd month follow up. Perianal excoriation was seen 11 (35.48%) patients at 3 month, th th 6 (19.35%) patients at 6 and 1 (3.22%) patient at 12 month follow up. CONCLUSION: Laparoscopic assisted Swenson pull-through is a good treatment option for patient with recto-sigmoid HD and bears a predictable and acceptable stooling pattern, optimum hospital stay and minimal complications.
- Subjects
PESHAWAR (Pakistan); COLOSTOMY; HIRSCHSPRUNG'S disease; SURGICAL site infections; PEDIATRIC surgery; URINARY catheterization; DEMOGRAPHIC characteristics
- Publication
Khyber Medical University Journal, 2020, Vol 12, Issue 4, p268
- ISSN
2305-2643
- Publication type
Article
- DOI
10.35845/kmuj.2020.20302