1Medical Officer, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
2Associate Professor, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
3Professor, Department of Pediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
4Consultant, Nobojatok Shishu and General Hospital, Dhaka, Bangladesh
5Major, Armed Forces Medical Institute, Dhaka, Bangladesh
6Assistant Registrar, Orth Oncology Unit, Surgical Oncology Department, National Institute of Cancer Research and Hospital, Dhaka, Bangladesh
Background: Complications following Trans-anal pull-through (TAPT) for Hirschsprung disease (HD) are the major cause of postoperative morbidity. The purpose of the study was to determine whether trans-anastomotic tube drainage can reduce early postoperative complications after TAPT for HD.
Methods: A total of 30 patients who underwent TAPT for HD, who were randomly divided into group A (n = 15) that is intervention group and group B (n = 15) that is the control group between January 2021 to July 2022-time frame. Group A had a trans-anastomotic tube after surgery whereas group B didn’t have it. Same postoperative protocol was followed for all the patients except the trans-anastomotic tube which was kept for 3 days in group A patient after the operation. To observe the early complications a follow up plan was scheduled at 3rd POD, within 14 days and 1-month post operatively for both groups.
Results: Postoperative complications up to 3rd POD indicates significant lesser incidence of soiling (33.3% vs 86.7%, P < 0.05) in group A compared to group B. Development of postoperative complications within 14 days shows lower rate of complication development in group A than that of group B (33.3% vs 66.67%, P < 0.005). Beyond 1 month after operation, the overall incidence of soiling and perianal excoriation were not significantly different (13.3% vs 33.0%, P = 0.195).
Conclusion: Trans-anastomotic tube following TAPT reduces the early postoperative complications in a few cases, which doesn’t give any significant benefit in the postoperative management of Hirschsprung disease.
Keywords: Hirschsprung; Trans-Anal Pull-Through; Trans-Anastomotic Tube; TAPT; HD
Umme Habiba Dilshad Munmun., et al. "Evaluation of Early Postoperative Complications with or without Trans-Anastomotic Tube Following Primary Trans-Anal Pull-Through for Hirschsprung Disease". EC Paediatrics 12.12 (2023): 01-09.
© 2023 Umme Habiba Dilshad Munmun., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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