Comparative Study Between One Stage Total Transanal Endorectal Pullthrough and Assisted Transanal Soave for Treatment of Hirschsprung's Disease
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Purpose: was to compare one stage total transanal endorectal pullthrough and assisted transanal Soave (either by minilaparotomy or laparoscopy) for treatment of Hirschsprung's disease. Methods: This study was conducted on 40 pediatric patients with Hirschsprung's disease. The patients were divided into two groups; group (A); 20 cases with one stage total transanal endorectal pullthrough, and group (B); 20 cases with assisted transanal Soave (10 cases mini-laparotomy (BI) and 10 cases laparoscopy (B2)). Results: Mean age of patients was 20.01 months for group A and 17.14 months for group B. The ratio of male to female was 3:1 and P value is highly significant <0.001. The mean operative time in group A was 102min. while in group B it was 117min. The onset of oral feeding in group A with mean of 1.7±0.86 days while in group B with mean of 2.25±0.97days. The mean postoperative hospital stay in group A 4.1+1.73 days and in group B was 5±1.87days. As regards the postoperative complications, complications were more common in group B than group A, and more common in subgroup Bi than Bz. Conclusion: Transanal endorectal pull-through is characterized by a shorter operating time, less bleeding, shorter hospital stay, less morbidity and earlier recovery than similar open pull-through procedures.