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SOAVE TECHNIQUE AND HIRSCHSPRUNG DISEASE

Ubaidullah Khan1 , Ahad Abdullah Alhabsi2 , Reyof Saeed Alharthi2 , Osama Jaber Alsulaymi2 , Osama Abdulrahman Barakat2 , Omar Abdulmalik Amin2 , Mohammed Ghalib Alfair3 , Noor Mohammed Fayoumi2 , Turki Hamdan Alzidani2 , Abdullah Mohammed Alturkistani2 , Mshari Hamed Althomali2 , Basel Saad Alzahrani2

Background and objectives: Soave a single stage trans-anal procedure most commonly done early in life with good outcome. We used this technique in our patients with Hirschsprung disease (HD) presented in our hospital. Our research's main objective is to outline Soave technical aspects, outcome and rate of success in our center. Methods: This is a retrospective review study series of HD patients in our center who managed by Soave trans-anal approach, to look for postoperative adverse event including: stricture, anastomotic leakage, enterocolitis, and bowel functions. Results: In this study we operated 17 patients with HD, 14 of them primarily went for Soave trans-anal resection, except these three patients: 2 underwent a levelling colostomy, 1 with ileostomy, at neonatal period, follow by Soave. The length of resection was 20±10.5 cm. The follow-up period was 12.2 months (range 5–22 months). The patients ages between 3-14 years old. All patients on follow up bowel movements were voluntary, no fecal incontinence and no constipation which required the use of laxative. Conclusions: Our research strongly approve the fact that a single stage Soave approach without transabdominal dissection is a good technique for late HD patients with a good outcome. A multicenter prospective study and large number of patients is required to validate our results. Keywords: Hirschsprung disease; Soave; Trans-anal

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