Shahnam Askarpour1, Mehran Peyvasteh1, Gholamreza Droodchi1, Hazhir Javaherizadeh2. 1. Pediatric Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Khouzestan, Iran. 2. Alimentary Tract Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Khouzestan, Iran.
Abstract
BACKGROUND: Oblique type of anastomosis. Several types of complications including constipation, fecal soiling, perianal excoriation, were reported among different types of surgery for Hirschsprung's disease. AIM: To compare circular and oblique anastomoses following Soave's procedure for the treatment of Hirschsprung's disease. METHODS: Children who underwent Saove's pull through procedure with oblique and circular anastomoses were included. Duration of the follow up was two years after surgery. Postoperative complications, such as wound infection, wound dehiscence, peritonitis, fecal soiling, perianal excoriation, were recorded for each patient. RESULTS: Thirty-eight children underwent oblique anastomoses. Circular ones were done for 32 children. Perianal excoriation was seen in 57.89% and 46.87% of children in oblique and circular group, respectively. Enterocolitis was more frequent in circular (40.62%) than oblique (28.94%) group. Anastomotic stricture was more frequent in circular (15.62%) than oblique (7.89%). CONCLUSION: Perianal excoriation was the most common complication among patient in both groups. Oblique anastomoses had fewer complications than circular, and may be appropriate option for patient who underwent Soave's procedure.
BACKGROUND: Oblique type of anastomosis. Several types of complications including constipation, fecal soiling, perianal excoriation, were reported among different types of surgery for Hirschsprung's disease. AIM: To compare circular and oblique anastomoses following Soave's procedure for the treatment of Hirschsprung's disease. METHODS:Children who underwent Saove's pull through procedure with oblique and circular anastomoses were included. Duration of the follow up was two years after surgery. Postoperative complications, such as wound infection, wound dehiscence, peritonitis, fecal soiling, perianal excoriation, were recorded for each patient. RESULTS: Thirty-eight children underwent oblique anastomoses. Circular ones were done for 32 children. Perianal excoriation was seen in 57.89% and 46.87% of children in oblique and circular group, respectively. Enterocolitis was more frequent in circular (40.62%) than oblique (28.94%) group. Anastomotic stricture was more frequent in circular (15.62%) than oblique (7.89%). CONCLUSION: Perianal excoriation was the most common complication among patient in both groups. Oblique anastomoses had fewer complications than circular, and may be appropriate option for patient who underwent Soave's procedure.
Authors: Shireen A Nah; Paolo de Coppi; Edward M Kiely; Joseph I Curry; David P Drake; Kate Cross; Lewis Spitz; Simon Eaton; Agostino Pierro Journal: J Pediatr Surg Date: 2012-02 Impact factor: 2.545
Authors: N Vega Mata; V Álvarez Muñoz; A J López López; C Montalvo Ávalos; M Oviedo Gutiérrez; L Raposo Rodríguez Journal: Cir Pediatr Date: 2014-04-15