Document Detail


Initial experience with Soave's transabdominal pull-through: an observational study.
MedLine Citation:
PMID:  20096811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to evaluate the clinical profile and outcome of patients with Hirschsprung's disease undergoing Soave's transabdominal pull-through.
METHODS: The study is a prospective study in neonates, infants and children presenting to Surgery Department of B. P. Koirala Institute of Health Sciences, Dharan, Nepal with a diagnosis of Hirschsprung's disease who underwent a Soave's transabdominal pull-through from 2006 to 2008.
RESULTS: There were 20 patients, including 10 neonates (50%), 8 infants (40%) and 2 children (10%). There were 18 males and 2 females. Mean age at presentation was 9.2 months (range 7 days-7 years). Mean time of passing stool postoperatively was 49.5h (range 15-72h). Mean time to orally allowing was 97.2h postoperatively (range 36-120h). Mean hospital stay was 14.4 days (range 11-19days). One patient died due to uncontrollable hyperthermia (5% mortality). Other complications noted were 1(5.2%) anastomotic leak, 1(5.2%) cuff abscess and 1(5.8%) anastomotic stricture. Mean stool frequency at 1st month of follow-up was 6.8 per day, which later decreased to 4.5 per day at 3rd month, 3.1 per day at 6th month and 1.7 at 1 year. Two patients (11.7%) have constipation at 1 year follow-up.
CONCLUSION: The rate of complications like mortality, cuff abscess, anastomotic leak and constipation are comparable to other series. The short-term results of Soave's transabdominal pull-through have been satisfactory; however long-term results are still awaited.
Authors:
Vikal Chandra Shakya; Chandra Shekhar Agrawal; Shailesh Adhikary
Publication Detail:
Type:  Journal Article     Date:  2010-01-22
Journal Detail:
Title:  International journal of surgery (London, England)     Volume:  8     ISSN:  1743-9159     ISO Abbreviation:  Int J Surg     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-16     Completed Date:  2010-05-11     Revised Date:  2010-12-08    
Medline Journal Info:
Nlm Unique ID:  101228232     Medline TA:  Int J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  225-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan 567O1, Koshi, Nepal. vikalcsh@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Colostomy / adverse effects
Digestive System Surgical Procedures* / adverse effects,  methods
Female
Hirschsprung Disease / surgery*
Humans
Infant
Infant, Newborn
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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