Early Outcomes of Hirschsprung's Disease after Definitive Surgery: A Ten-Year Experience.

Autor:	Isa MM; Pediatric Surgery Division, Department of Surgery, Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia.; Graduate School of Mathematics and Applied Sciences, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia., Syukri M; Division of Nephrology and Hypertension, Department of Internal Medicine Faculty of Medicine Universitas Syiah Kuala/ Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia., Za M; Faculty of Marine and Fisheries, Universitas Syiah Kuala., Gunadi; Pediatric Surgery Division, Department of Surgery, Universitas Gajah Mada/dr. Sardjito Hospital, Yogyakarta 55281, Indonesia., Syahputra DA; Pediatric Surgery Division, Department of Surgery, Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia., Yusriadi T; Pediatric Surgery Division, Department of Surgery, Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia., Muzakkir Y; Pediatric Surgery Division, Department of Surgery, Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia., Maghfirah S; Medical Faculty, Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia.
Jazyk:	angličtina
Zdroj:	Current pediatric reviews [Curr Pediatr Rev] 2024 Jun 20. Date of Electronic Publication: 2024 Jun 20.
DOI:	10.2174/0115733963271997240605103909
Abstrakt:	Introduction: This study aimed to examine the characteristics of Hirschsprung's Disease (HD) in patients aged<18 who underwent surgical procedure at Dr. Zainoel Abidin (RSUDZA) General Hospital, Banda Aceh, Indonesia, between January 2010 and December 2020. Methods: This retrospective study collected and analyzed data from medical records of 18-yearold or younger children (n = 180) diagnosed with HD at RSUDZA. The surgical procedures included the Duhamel procedure, Soave procedure, the Soave Transanal Endorectal Pull-through (TEPT) procedure, and the Swenson TEPT procedure. Early outcomes of the surgery were then compared between males and females. The comparrative analysis was determined based on Chisquare analysis, where p< 0.05 was considered significant. Results: There were 111 (61.7%) male patients and 69 (38.3%) female patients, with a mean age of 15.2 months. The Soave TEPT is the most frequently performed procedure (91.7%). Emerging clinical manifestations include constipation (176; 97.8%) and soiling (171; 95%). Preoperative barium enema and postoperative pathological examination confirmed that almost all patients (99.4%) had an aganglionic segment confined to the rectosigmoid area. The average length of operation was 69.7 ± 65 minutes and average bleeding time was 5.4 ± 34 mL. The average discharge time was 3.3 ± 73.3 days. No significant difference was found in post-surgery complications between males and females (p<0.5). The immediate complications were not associated with surgical methods (p = 0.83). Conclusion: Our descriptive study has suggested the Soave TEPT technique as appropriate to manage HD. (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)
Databáze:	MEDLINE
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