%0 Journal Article
%T Early Outcomes of Hirschsprung's Disease after Definitive Surgery: A Ten-Year Experience.
%A Isa MM
%A Syukri M
%A Za M
%A Gunadi 
%A Syahputra DA
%A Yusriadi T
%A Muzakkir Y
%A Maghfirah S
%J Curr Pediatr Rev
%V 0
%N 0
%D 2024 Jun 20
%M 38910473
暂无%R 10.2174/0115733963271997240605103909
%X <B>BACKGROUND: </B>This study aimed to examine the characteristics of Hirschsprung's Disease (HD) in patients aged<18 who underwent surgical procedure at Dr. Zainoel Abidin (RSUDZA) General Hospital, Banda Aceh, Indonesia, between January 2010 and December 2020.<BR><B>METHODS: </B>This retrospective study collected and analyzed data from medical records of 18-yearold or younger children (n = 180) diagnosed with HD at RSUDZA. The surgical procedures included the Duhamel procedure, Soave procedure, the Soave Transanal Endorectal Pull-through (TEPT) procedure, and the Swenson TEPT procedure. Early outcomes of the surgery were then compared between males and females. The comparrative analysis was determined based on Chisquare analysis, where p&#60; 0.05 was considered significant.<BR><B>RESULTS: </B>There were 111 (61.7%) male patients and 69 (38.3%) female patients, with a mean age of 15.2 months. The Soave TEPT is the most frequently performed procedure (91.7%). Emerging clinical manifestations include constipation (176; 97.8%) and soiling (171; 95%). Preoperative barium enema and postoperative pathological examination confirmed that almost all patients (99.4%) had an aganglionic segment confined to the rectosigmoid area. The average length of operation was 69.7 ± 65 minutes and average bleeding time was 5.4 ± 34 mL. The average discharge time was 3.3 ± 73.3 days. No significant difference was found in post-surgery complications between males and females (p&#60;0.5). The immediate complications were not associated with surgical methods (p = 0.83).<BR><B>CONCLUSIONS: </B>Our descriptive study has suggested the Soave TEPT technique as appropriate to manage HD.