ABSTRACT
Background: Establishing regular bowel movements free of fecal incontinence, enterocolitis, and constipation is the main goal of surgical operations for Hirschsprung’s disease. In this research, we assessed the short- and long-term effects of several surgical techniques on children with Hirschsprung’s illness.
Methods: A sample of 50 children with Hirschsprung’s illness was chosen for prospective single-blind research. Age under 10 years and an elective single-stage Duhamel (D group) or trans anal operation were requirements for patients (T group). The formation of post-operative constipation and fecal incontinence in groups were the primary endpoints for which data were gathered. Intraabdominal infection, amniotic fluid leak, wound infection, and enterocolitis linked with Hirschsprung was the study’s secondary endpoints.
Results: After one month, 14 (56%) in the D group and 7 (28%) in the T group still had post-operative constipation (p-value =0.04). After six months, post-operative constipation remained in 16 (64%) of the D group patients and in 10 (40%) of the T group patients (p-value =.08). Fecal incontinence rates did not significantly vary across the groups.
Conclusion: We discovered no discernible difference in the mid-term result for young infants with Hirschsprung’s disease who were scheduled for surgery.
Keywords: Duhamel, Hirschsprung’s disease, Trans anal