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Article Type

Original Study

Abstract

Background / Aim : Many definitiveoperations exist for Hirshsprung’sdisease, each of these operations is highly effective in thereliefof functional obstruction, on theotherhand each operation hassomecomplications.The aim of thisstudyis to evaluate Swenson’s operationas a method for treatment ofHirschsprung’s disease and assessmentof short and long term outcome.Methodology :Forty patients under went Swen-son’s operation over 4 years, theywere 25 males and 15 females withmean age 6.64 years (range6months- 12 years). Preoperativehistory and clinical assessment, laboratory,radiologically and manome- try were done in all cases. Postoperativeevaluation of outcome wasstudied.Results :No mortality in our cases .Soilingoccured in 2 cases, minor incontinencein 7 cases (17.5 %) and majorincontinence in 5 cases (12.5 %), enterocolitisin 5 cases (12.5 %).constipationin 4 cases (10%). Leakage associated with woundand pelvic collection in 2 cases (5 %)and was treated with antibiotics andleaving the drains for 6 to 8 days.One case developed rectovaginal fistula,one case of anal stricture, onecaseof recurrent Hirschsprung s’disease.On follow up these symptomsimproved through along thefirstand second year post- operatively. Conclusion:Swenson’s operation is the origi-nal curative pull- through procedureespecially if precisely performed.However, it has some complications.Anal stricture may complicate ischaemiaof the pulled through segment.Enterocolitis remains a seriouscomplication.Incontinence has a relativelyhigh incidence but with significantimprovement with time.

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Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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