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Modified Swenson-like pull-through with temporary stump for redo pull-through after failed Transanal Endorectal
Zikrul Haikal1, Qisthinadia H Setiadi2, Sunanto Sunanto2
1Surgery Department, Faculty of Medicine, Universitas Mataram, Mataram, Indonesia.
Journal of Taibah University Medical Sciences
|February 10, 2022
Summary
Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Hirschsprung's disease is a congenital gastrointestinal anomaly.
- Transanal Endorectal Pull-through (TEPT) is a surgical treatment.
- Anastomotic dehiscence is a potential complication of TEPT.
Observation:
- A six-year-old girl with Hirschsprung's disease developed anastomotic dehiscence post-TEPT.
- A modified Swenson-like re-do pull-through with a temporary stump was performed.
- The temporary stump was maintained for two weeks before removal.
Findings:
- The modified Swenson-like technique for re-do pull-through yielded satisfactory long-term results.
- The patient achieved normal digestive function and no incontinence.
- Excellent anal outcomes were observed post-surgery.
Implications:
- This modified Swenson-like pull-through offers a viable surgical alternative for complex Hirschsprung's disease cases.
- It addresses complications like anastomotic dehiscence after initial TEPT.
- The technique demonstrates potential for improved patient outcomes in revision surgeries.
