Comparison of Duhamel’s Pull-Through Procedure Versus Soave’s Pull Through Procedure for The Management of Hirschsprung’s Disease
Duhamel’s Pull-Through Versus Soave’s Pull Through Procedure
DOI:
https://doi.org/10.54393/pjhs.v4i01.503Keywords:
Duhamel’s Pull-Through Versus Soave’s Pull Through ProcedureAbstract
The Hirschsprung’s disease is managed via surgical procedures. Mostly two different procedures are common called Soave’s and Duhamel’s. we compared the procedure safety and output benefits and complications rate of these two studies. Objectives: To find the efficacy of Soave’s and Duhamel’s pull-through procedure that which method is more safe and efficient for the children with Hirschsprung’s disease. Methods: Randomized clinical trials were conducted. The sample included was consists of 60 children of less than 1 year of age up to 3 years. Sample size was calculated by world health sample size calculator for randomized control trials. With the confidence interval of 95%. Purposive sampling technique was used to collect the data. The study used paired t-test to compare the outcomes of two surgical procedures. 30 patients got Soave’s procedure and 30 underwent Duhamel’s procedure. Overall 54 boys and 6 girls were under study. Paired t-test were used to analyze the data. Results: In Soave’s pull-through the 26 patients recovered without any serious complications. If we compared this to the Duhamel’s procedure output the complications rate was a little high 23 patients recovered uneventfully while complications reported in 7 patients. The results of this study prove the significant findings in terms of efficiency and associated complications. Conclusion: In the light of above mentioned clinical trials the Soave’s procedure covers less frequency of complications and cost-efficient in comparison to Duhamel’s pull-through procedure in which the complications rate was significantly higher and a costly procedure.
References
Ademuyiwa AO, Bode CO, Lawal OA, Seyi-Olajide J. Swenson’s pull-through in older children and adults: peculiar peri-operative challenges of surgery. International Journal of Surgery. 2011 Jan; 9(8): 652-4. doi: 10.1016/j.ijsu.2011.08.006
Amiel J and Lyonnet S. Hirschsprung disease, associated syndromes, and genetics: a review. Journal of medical genetics. 2001 Nov; 38(11): 729-39. doi: 10.1136/jmg.38.11.729
Aworanti OM, Mcdowell DT, Martin IM, Hung J, Quinn F. Comparative review of functional outcomes post surgery for Hirschsprung’s disease utilizing the paediatric incontinence and constipation scoring system. Pediatric surgery international. 2012 Nov; 28: 1071-8. doi: 10.1007/s00383-012-3170-y
De La Torre L, Langer JC. Transanal endorectal pull-through for Hirschsprung disease: technique, controversies, pearls, pitfalls, and an organized approach to the management of postoperative obstructive symptoms. In Seminars in pediatric surgery. 2010 May; 19(2): 96-106. doi: 10.1053/j.sempedsurg.2009.11.016
Dwihantoro A and Rochadi. Microbiological profile and antimicrobial susceptibility in children with perforated appendicitis at Dr. Sardjito general hospital, Yogyakarta. Journal of Medical Sciences. 2016 Jan; 48(1): 35-44.
Holschneider A, Hutson J, Peña A, Beket E, Chatterjee S, Coran A, et al. Preliminary report on the International Conference for the Development of Standards for the Treatment of Anorectal Malformations. Journal of pediatric surgery. 2005 Oct; 40(10): 1521-6. doi: 10.1016/j.jpedsurg.2005.08.002
Langer JC, Rollins MD, Levitt M, Gosain A, Torre LD, Kapur RP, et al. Guidelines for the management of postoperative obstructive symptoms in children with Hirschsprung disease. Pediatric surgery international. 2017 May; 33: 523-6. doi: 10.1007/s00383-017-4066-7
Langer JC. Persistent obstructive symptoms after surgery for Hirschsprung’s disease: development of a diagnostic and therapeutic algorithm. Journal of pediatric surgery. 2004 Oct ; 39(10): 1458-62. doi: 10.1016/j.jpedsurg.2004.06.008
Levitt MA, Dickie B, Peña A. The Hirschsprungs patient who is soiling after what was considered a “successful” pull-through. InSeminars in pediatric surgery. 2012 Nov; 21(4): 344-53. doi: 10.1053/j.sempedsurg.2012.07.009
Setiadi JA, Dwihantoro A, Iskandar K, Heriyanto DS. The utility of the hematoxylin and eosin staining in patients with suspected Hirschsprung disease. BMC surgery. 2017 Dec; 17: 1-5. doi: 10.1186/s12893-017-0267-1
Levitt MA, Hamrick MC, Eradi B, Bischoff A, Hall J, et al. Transanal, full-thickness, Swenson-like approach for Hirschsprung disease. Journal of pediatric surgery. 2013 Nov; 48(11): 2289-95. doi: 10.1016/j.jpedsurg.2013.03.002
Nah SA, de Coppi P, Kiely EM, Curry JI, Drake DP, Cross K, et al. Duhamel pull-through for Hirschsprung disease: a comparison of open and laparoscopic techniques. Journal of Pediatric Surgery. 2012 Feb; 47(2): 308-12. doi: 10.1016/j.jpedsurg.2011.11.025
Parahita IG and Makhmudi A. Comparison of Hirschsprung-associated enterocolitis following Soave and Duhamel procedures. Journal of pediatric surgery. 2018 Jul; 53(7): 1351-4. doi: 10.1016/j.jpedsurg.2017.07.010
Peppas G, Alexiou VG, Mourtzoukou E, Falagas ME. Epidemiology of constipation in Europe and Oceania: a systematic review. BMC gastroenterology. 2008 Dec; 8: 1-7. doi: 10.1186/1471-230X-8-5
Stensrud KJ, Emblem R, Bjørnland K. Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach. Journal of pediatric surgery. 2010 Aug; 45(8): 1640-4. doi: 10.1016/j.jpedsurg.2010.02.065
Aworanti OM, Mcdowell DT, Martin IM, Hung J, Quinn F. Comparative review of functional outcomes post surgery for Hirschsprung’s disease utilizing the paediatric incontinence and constipation scoring system. Pediatric surgery international. 2012 Nov; 28: 1071-8.
doi: 10.1007/s00383-012-3170-y.
Stensrud KJ, Emblem R, Bjørnland K. Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach. Journal of pediatric surgery. 2010 Aug; 45(8): 1640-4. doi: 10.1016/j.jpedsurg.2010.02.065
Tam PK. Hirschsprung's disease: a bridge for science and surgery. Journal of pediatric surgery. 2016 Jan; 51(1): 18-22.doi: 10.1016/j.jpedsurg.2015.10.021
Teitelbaum DH, Cilley RE, Sherman NJ, Bliss D, Uitvlugt ND, Renaud EJ, et al. A decade of experience with the primary pull-through for Hirschsprung disease in the newborn period: a multicenter analysis of outcomes. Annals of surgery. 2000 Sep; 232(3): 372. doi: 10.1097/00000658-200009000-00009
Wester T, Granström AL. Hirschsprung disease—Bowel function beyond childhood. InSeminars in pediatric surgery. 2017 Oct; 26(5): 322-7. doi: 10.1053/j.sempedsurg.2017.09.008
Haryana SM and Sadewa AH. Effect of RET c. 2307T> G polymorphism on the outcomes of posterior sagittal neurectomy for Hirschsprung disease procedure in Indonesian population. International Surgery. 2014; 99(6): 802-6. doi: 10.9738/INTSURG-D-14-00082.1
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