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335502

Laparoscopic-assisted versus complete transanal pull-through using Swenson technique in treatment of Hirschsprung’s disease

Article

Last updated: 29 Dec 2024

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Abstract

Background
The aim of this study is to compare outcomes for neonates and infants with Hirschsprung’s disease undergoing a laparoscopically assisted transanal pull-through (LAPT) with those undergoing a complete transanal pull-through (TERPT) using Swenson procedure in both groups.
Method
Forty patients with Hirschsprung’s disease were operated between January 2018 and January 2022. Twenty patients underwent transanal endorectal pull through TERPT while the other 20 patients underwent laparoscopic assisted pull through (LAPT) using Swenson procedure (TERPT) in both groups.
Results
The mean age of the patients at the time of operation were 18.9 months for the transanal group versus 21.3 months for the laparoscopic group. The mean follow-up period was 6 months, ranging from 3 to 12 months. The rate of enterocolitis occurred in 15% of cases in transanal group versus 10% of cases in the laparoscopic group. Constipation was found in 25% of cases of TERPT group versus 10% of cases in the LAPT group. The rates of normal continence (score 0:4) was 60% vs 50% for TERPT vs LAPT respectively while the rate of severe incontinence (score 15:20) was 20% vs 5% for TERPT vs LAPT respectively.
Conclusion
The functional outcomes after LAPT was satisfactory in term of fecal soiling compared to trans anal approach this may be due to less pelvic dissection compared to transanal pull through.

DOI

10.1186/s43159-023-00259-7

Keywords

TERPT, LAPT, Hirschsprung’s disease, INCONTINENCE

Authors

First Name

Tamer

Last Name

Fakhry

MiddleName

-

Affiliation

-

Email

tamer_fakhry26@yahoo.com

City

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Orcid

0000-0003-4180-3400

First Name

Ahmed

Last Name

Rabee

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Magdy

Last Name

Lolah

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Nabil

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

19

Article Issue

1

Related Issue

45427

Issue Date

2023-01-01

Receive Date

2023-06-13

Publish Date

2023-07-17

Print ISSN

1687-4137

Online ISSN

2090-5394

Link

https://apsj.journals.ekb.eg/article_335502.html

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https://apsj.journals.ekb.eg/service?article_code=335502

Order

335,502

Publication Type

Journal

Publication Title

Annals of Pediatric Surgery

Publication Link

https://apsj.journals.ekb.eg/

MainTitle

Laparoscopic-assisted versus complete transanal pull-through using Swenson technique in treatment of Hirschsprung’s disease

Details

Type

Article

Created At

20 Dec 2024