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. 2025;21(4):384-391.
doi: 10.2174/0115733963271997240605103909.

Early Outcomes of Hirschsprung's Disease after Definitive Surgery: A Ten-year Experience

Muntadhar Muhammad Isa  1   2 , Maimun Syukri  3 , Muchlisin Zainal Abidin  4 , Dian Adi Syahputra  2 , Teuku Yusriadi  2 , Yumna Muzakkir  2 , Siti Magfirah  5 , Gunadi Gunadi  6
Affiliations

Early Outcomes of Hirschsprung's Disease after Definitive Surgery: A Ten-year Experience

Muntadhar Muhammad Isa et al. Curr Pediatr Rev. 2025.

Abstract

Introduction: 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.

Methods: 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<0.05 was considered significant.

Results: 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>0.5). The immediate complications were not associated with surgical methods (p = 0.83).

Conclusion: Our descriptive study has suggested the Soave TEPT technique as appropriate to manage HD.

Keywords: Hirschsprung’s disease; complication; definitive surgery; developing country.; early outcome; transanal endorectal pull-through.

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Conflict of interest statement

The authors declare no conflict of interest, financial or otherwise.

Figures

Fig. (1)
Fig. (1)
Visualizing the transanal endorectal pull-through technique. Source: Documentary of Pediatric Surgery Division, Department of Surgery, Syiah Kuala University/Dr. Zainoel Abidin General Hospital.
See this image and copyright information in PMC

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