DOI: 10.36347/sasjs.2022.v08i02.001

Pages: 46-51

Introduction: The Swenson procedure was the original pull-through procedure used to treat Hirschsprung disease. The aganglionic segment is resected down to the sigmoid colon and rectum, and an oblique anastomosis is performed between the normal colon and the low rectum. Given our Center’s experience with a full-thickness transanal pull rectal dissection for anorectal malformations we chose to apply the ideas to the primary treatment of HD, and describe technical aspects and impact on fecal, urinary, and sexual function. Aim of the study: The aim of the study was to analyze the short term outcome of patients who have undergone the swenson abdominoperineal pull through operation in the treatment of Hirschsprung’s disease. Methods: This prospective study had been carried out in the Department of Pediatric Surgery, Dhaka Shishu Hospital during the period of June 2015 to December 2020. Total 60 patients with Hirschsprung’s disease with or without colostomy except total colonic aganglionosis were included in this study. We also excluded those patients with major co-morbidities and patients who did not agree to close stoma within 12 weeks of pull through. Consideration was given to postoperative complications (Cuff /anastomotic/pelvic abscess, wound infection, anastomotic leakage, fecal incontinence, urinary incontinence, mortality), operation time and post-operative hospital stay and as well as the short term outcome. We reviewed our series of HD patients who underwent a transanal, Swenson-like rectosigmoid dissection, assessing for postoperative stricture, anastomotic leak, enterocolitis, and long-term results for bowel, urinary, and sexual function. Results: A total of 60 patients were included and analyzed in this study. All of sixty patients had Hirschsprung disease in this study. The age range stared from 1-3 years and end to 8-12 years, respectively, in Table-1 whereas 33(55.0%) were from 8-12 years, 25(42.67%) patients were from 4-7 years and lastly 2(3.33%) ......