Volume : 12, Issue : 06, June – 2025
Title:
ANALYZING THE SHORT AND MID-TERM RESULTS IN HIRSCHSPRUNG’S DISEASE IN CHILDREN UNDERGOING VARIOUS TREATMENTS
Authors :
Usama Ali Malik, Fiza Malik, Abdul Hadi Khan, Hassan Ilyas, Sidra Arshad, Muhammad Fahad Khaliq
Abstract :
Background: Hirschsprung disease (HD) is a congenital disease characterized by the absence of ganglion cells in parts of the bowel, resulting in functional obstruction. Outcomes highly depend on early diagnosis and surgical treatment, which, in turn, depend on early identification of findings. However, short- and mid-term postoperative outcomes vary depending on the surgical technique employed.
Objective: This study aims to evaluate the short- and mid-term outcomes in children with Hirschsprung disease (HD) who underwent different surgical procedures.
Methods: This retrospective observational study was conducted at Services Hospital between June 2022 and May 2023. Fifty pediatric patients with Hirschsprung disease who underwent various surgical procedures were included. Short-term complications (within 3 months postoperatively) and mid-term outcomes (up to 6 months postoperatively) were evaluated by assessing bowel function, incidence of enterocolitis, and growth parameters. Data were collected through medical records and patient follow-up.
Results: Among the 50 patients, 10 (20%) underwent laparoscopic-assisted transanal endorectal pull-through, 12 (24%) had Swenson, 10 (20%) had the Duhamel procedure, and 18 (36%) received the Soave procedure. Short-term complications included perianal excoriation (32%), postoperative enterocolitis (24%), and anastomotic leak (6%). At mid-term follow-up, 76% of patients demonstrated satisfactory bowel function, 18% experienced occasional constipation, and 6% had recurrent enterocolitis. Patients who underwent transanal endorectal pull-through generally showed better continence and growth recovery compared to those who underwent other procedures.”
Conclusion: This study concluded that the choice of surgical procedure significantly influenced both short- and mid-term outcomes in children with Hirschsprung disease. Laparoscopic-assisted associated with better bowel function, fewer complications, and an overall improved quality of life, making it the preferred approach in most cases.
Keywords: Hirschsprung’s disease, pediatric surgery, Transanal endorectal pull-through, short-term outcomes, mid-term outcomes, surgical treatment.
Cite This Article:
Please cite this article in press Usama Ali Malik et al., Analyzing The Short And Mid-Term Results In Hirschsprung’s Disease In Children Undergoing Various Treatments., Indo Am. J. P. Sci, 2025; 12(07).
Number of Downloads : 10
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