One stage transanal endorectal pull-through for treatment of hirschsprung's disease : 5 years experience

Abstract EN

Background / purpose : Approximately 1 in 5000 newborns is born with Hirschsprung's disease (HD).

The surgical management of HD has progressed from multi-stage procedure to primary transanal operation.

This study aims to evaluate the safety, feasibility and the outcome of one stage transanal endorectal pull-through technique (TEPT) for treatment ofHD.

Patients and methods: From January 2005 to January 2010, fifty seven children with rectosigmoid HD were included in this study.

All underwent one stage TEPT procedure.

Operative data, postoperative complications and outcome, all were reported.

Results : of 57 patients, 39 were males and 18 were females.

All were diagnosed as HD via their clinical features, contrast enema study and full thickness rectal biopsy.

The age at the time of diagnosis ranged from 2 days to 30 month, the age at time of surgery ranged from 3 months to 30 month and their weight ranged from 4Kg to 14 Kg.

the mean operative time was 80±15 minutes and hospital stay ranged from 2.5 to 5 days.

Postoperative complications included perianal excoriation, dermatitis, recurrent enterocolitis and soiling Follow up periods ranged from 4 months to 24 month.

Conclusion : one stage TEPT procedure is a safe, feasible with satisfactory long term outcome.