Comparative Study Between Open Soave Operation and Trans Anal Pull-Through for Hirschsprung’s Disease Regarding the State of Continence: A Retrospective Study

Authors

1 paediatric surgery, Faculty of Medicine, Al-Azhar University, Egypt

2 Pediatric Surgery, Al-Azhar University Hospitals, Cairo, Egypt

Abstract

Background: Hirschsprung's disease (HD) is ganglion cell deficiency within the colon's submucosal and myenteric plexuses. The deficient ganglion cells in this portion lead to ineffective movement of intestinal contents, causing stagnation or lack of peristaltic movement in that segment. Objective: Our study aims to evaluate and compareaims to evaluate and compare the continence state of patients suffering from Hirschsprung's disease (HD) after two of the most used surgeries for HD: the Soave technique versus the Trans-anal pull-through operations (Retrospectively). Patients and Methods: Our study included 60 post-pull-through cases for HD recruited from Al Azhar University (Al-Hussein and Sayed Galal University Hospitals) from 2012-2023. The patients were divided into two groups: (A) 30 underwent post-Soave's Operation. (B) Group: 30 patients underwent post-Trans-anal Pull-through Operation. Results: Open Soave's Operation and trans-anal Pull-through procedure for Hirschsprung's Disease have close functional outcomes concerning continence. Both groups showed satisfactory continence results with no statistically significant variation. Conclusion: Based on our study's findings, we conclude that open Soave's operation and trans-anal Pull-through for HD have close functional outcomes concerning the state of continence.

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