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Swenson's operation for neonatal Hirschsprung's disease
M Küçükaydin1, H Okur, C Turan
1Department of Pediatric Surgery, Erciyes University, Faculty of Medicine, Kayseri, Turkey.
The European Journal of Surgery = Acta Chirurgica
|September 1, 1993
Summary
Swenson's operation is a safe and effective surgical treatment for neonatal Hirschsprung's disease. This study found excellent continence outcomes in infants undergoing this procedure.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastrointestinal Surgery
Background:
- Hirschsprung's disease is a congenital condition affecting the large intestine.
- Neonatal surgical intervention is crucial for managing Hirschsprung's disease.
Purpose of the Study:
- To evaluate the safety and efficacy of Swenson's operation for Hirschsprung's disease in neonates.
- To assess outcomes including mortality, morbidity, and continence.
Main Methods:
- Retrospective study of 10 neonates with Hirschsprung's disease.
- Swenson's operation (rectosigmoidectomy and pull-through) with transverse colostomy.
- Analysis of mortality, morbidity, and long-term continence.
Main Results:
- One late death due to cardiorespiratory failure; no immediate postoperative complications.
- All 9 surviving patients achieved fecal continence at a mean follow-up of 21 months.
- Median age at operation was 25 days, with varied presentations including perforation and obstruction.
Conclusions:
- Swenson's operation is a safe and effective procedure for neonatal Hirschsprung's disease.
- High standards of neonatal care and surgical expertise contribute to successful outcomes.
- The procedure is considered the treatment of choice for this condition in the neonatal period.