S Agarwala1, V Bhatnagar, D K Mitra. 1. Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi.
Abstract
OBJECTIVE: Long term follow-up of Hirschsprung's disease to determine the early and late complications. DESIGN: Retrospective. SETTING: Tertiary care referral hospital. SUBJECTS: Fifty children who underwent either Swenson's procedure [SP] (n = 16) or Martin's modification of Duhamel's procedure [MDP] (n = 34), for treatment of Hirschsprung's disease during the period 1981 through 1990. RESULTS: Early complications observed were anastomotic leak (n = 4), stenosis (n = 8), wound infection (n = 8), and intestinal obstruction (n = 6). Follow-up period ranged from 2-10 years. Long term complications included constipation (n = 1), enterocolitis (n = 2), mild soiling (n = 4), and intestinal obstruction (n = 2). CONCLUSIONS: Early complications were seen with equal frequency in patients with either SP or MDP but late complications were seen less often with the SP. Both SP and MDP were equally effective in the definitive treatment of Hirschprung's disease.
OBJECTIVE: Long term follow-up of Hirschsprung's disease to determine the early and late complications. DESIGN: Retrospective. SETTING: Tertiary care referral hospital. SUBJECTS: Fifty children who underwent either Swenson's procedure [SP] (n = 16) or Martin's modification of Duhamel's procedure [MDP] (n = 34), for treatment of Hirschsprung's disease during the period 1981 through 1990. RESULTS: Early complications observed were anastomotic leak (n = 4), stenosis (n = 8), wound infection (n = 8), and intestinal obstruction (n = 6). Follow-up period ranged from 2-10 years. Long term complications included constipation (n = 1), enterocolitis (n = 2), mild soiling (n = 4), and intestinal obstruction (n = 2). CONCLUSIONS: Early complications were seen with equal frequency in patients with either SP or MDP but late complications were seen less often with the SP. Both SP and MDP were equally effective in the definitive treatment of Hirschprung's disease.