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Published on: January 7, 2019
Early and long-term complications following transanal pull through Soave technique in infants with Hirschsprung's
Manoochehr Ghorbanpour1, Mohammad Ali Seyfrabie2, Babak Yousefi1
1Department of Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran.
Insights
Soave surgery for Hirschsprung's disease is effective, but patients face risks like intestinal obstruction and constipation. Careful patient selection and monitoring are crucial for successful outcomes and managing complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Complications
Background:
- Hirschsprung's disease requires surgical intervention.
- Soave surgery is a common procedure for Hirschsprung's disease.
- Patients are susceptible to short-term and long-term complications post-surgery.
Purpose of the Study:
- To investigate short-term and long-term complications following Soave surgery for Hirschsprung's disease.
- To evaluate the overall outcomes of Soave surgery in pediatric patients.
- To identify risk factors and patterns of complications in operated patients.
Main Methods:
- A 12-year case series study (2007-2018) at Besat Hospital, Hamadan.
- Data collected via checklist on demographics, clinical features, and surgical outcomes.
- Statistical analysis using SPSS software with P<0.05 significance.
Main Results:
- 55 children underwent Soave surgery; mean age 38 days, 56.4% female.
- Most common short-term complication: intestinal obstruction (25.5%).
- Most frequent long-term complications: intestinal obstruction and constipation (27.3% each); 14.5% mortality rate.
Conclusions:
- One-stage Soave surgery is a safe and effective treatment for Hirschsprung's disease.
- Careful patient selection is essential to minimize risks.
- Post-operative monitoring is vital for timely management of complications.
Background And Aim:
Patients undergoing Soave surgery for Hirschsprung's disease are at risk for some complications. The aim of this study was to investigate such short-term and long-term complications and evaluate the outcome of the operation in these patients.
Methods:
A case series study was carried out during the last 12 years, during 2007 to 2018 in Besat hospital of Hamadan. Data collection conducted using a checklist includes questions about demographic information, clinical features, and short-term and long-term complications, and consequences of post-operative surgery. The findings of the study were analyzed using SPSS software version 20 and appropriate statistical tests. P-value less than 0.05 was considered statistically significant.
Results:
A total of 55 children underwent Soave surgery during the last 12 years in Besat Hospital Hamadan, Iran. The mean age of the patients was 38±10 days during surgery, of which 56.4% were female. The mean hospital stay was 7.3 days. Also, the mean weight of children at birth was 2970±447 gr. Most of the patients were born as NVD (52.7%) and term (74.5%). The most common comorbidity was congenital heart disease. The most common short-term complication was intestinal obstruction in 14 patients (25.5%) and the most frequent long-term complication was intestinal obstruction and constipation (27.3% each cases). The mortality rate of patients in this study was 14.5% in total.
Conclusions:
One stage surgical procedure in Hirschsprung's disease is a safe and effective method, but care should be taken in choosing patients and patients should be monitored for possible complications, so that they can be considered and implemented for proper treatment.
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