Skip to content
Research Article Open access CC BY 4.0

Comparison of Long-term Outcomes between Hirschsprung's Disease Patients after Soave Procedure and Duhamel Procedure Based on the Paediatric Incontinence and Constipation Scoring System: A Retrospective Cohort Study

Joko Wibowo Sentoso, Nunik Agustriani, Ida Bagus Budhi SA

Asian Journal of Medicine and Health · pp. 59–66 · Published 1 Apr 2024

10.9734/ajmah/2024/v22i51011

Abstract

Introduction: Hirschprung's disease is a congenital disease that causes intestinal motility disorders. Hirschprung's disease is still the most common condition that causes intestinal obstruction in children. The incidence of Hirschprung's disease is 1:5000 live births. The incidence ratio of this disease is around 4:1 between men and women, with a higher percentage of men 1,3,4. Approximately 75% of cases of Hirschprung's disease occur in the rectosigmoid colon area, 17% in the splenic flexure or transverse colon and 8% along the colon and terminal ileum. The Duhamel technique still remains a popular procedure most surgeons especially for long segment treatment and redo procedures.28, 30 The advantage of the Duhamel Procedure is that it is easy to perform, reduces the risk of damage to surrounding structures such as genitourinary innervation, but has the possibility of complications of anastomotic leakage which causes fistulas and abscesses. Materials and Methods: Total subjects of this study was 441 patients with Hirschprung's disease who were treated with the Soave procedure and the Duhamel procedure at Dr. Moewardi General Hospital in Surakarta, Central Java, Indonesia for the period January 2017 - January 2022. This type of research is descriptive analytics with a retrospective cohort. Results: The results of the study can be concluded that patients with HAEC increases the risk of constipation. Congenital abnormalities predispose to fecal incontinence. Differences in surgical techniques do not significantly influence or increase the risk of constipation and fecal incontinence based on statistical tests. However, the increased risk of constipation and fecal incontinence is higher in patients undergoing the Duhamel surgical procedure. Conclusion: Conclusions that can be drawn from research regarding the comparison of long-term outcomes of Hirschsprung disease patients after Soave and Duhamel operations based on the Pediatric Incontinence and Constipation Scoring System at Dr. Moewardi General Hospital in Surakarta, Indonesia for period January 2017 – January 2022, it can be concluded that there is no significant difference in the outcome of patients who underwent the Soave or Duhamel procedures. The Duhamel procedure has a higher prevalence of complications of constipation and fecal incontinence compared to the Soave procedure. The presence of HAEC before the surgical procedure increases the risk of constipation, significantly in the Soave and Duhamel procedures.

Hirschprung's disease soave procedure duhamel procedure incontinence constipation

References (26)

  1. 1 Ashcraft's Pediatric Surgery [DOI]
  2. 2 The developmental etiology and pathogenesis of Hirschsprung disease [DOI]
  3. 3 ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease [DOI]
  4. 4 Hirschsprung-associated enterocolitis: prevention and therapy [DOI]
  5. 5 Hirschsprung-associated enterocolitis: pathogenesis, treatment and prevention [DOI]
  6. 6 Hirschsprung disease and fecal incontinence: diagnostic and management strategies [DOI]
  7. 7 Diagnosis of Hirschsprung’s disease with particular emphasis on histopathology. A systematic review of current literature [DOI]
  8. 8 Comparison of Hirschsprung-associated enterocolitis following Soave and Duhamel procedures [DOI]
  9. 9 Functional outcomes in Hirschsprung disease patients after transabdominal Soave and Duhamel procedures [DOI]
  10. 10 Bowel dysfunction following pullthrough surgery is associated with an overabundance of nitrergic neurons in Hirschsprung disease [DOI]
  11. 11 Laparoscopic Duhamel Procedure for Hirschsprung's Disease: Systematic Review and Meta-analysis [DOI]
  12. 12 Hirschsprung's disease associated enterocolitis: A comprehensive review [DOI]
  13. 13 Clinical outcome and bowel function after surgical treatment in Hirschsprung's disease [DOI]
  14. 14 Comparative cohort study of Duhamel and endorectal pull-through for Hirschsprung’s disease [DOI]
  15. 15 Comparative review of functional outcomes post surgery for Hirschsprung’s disease utilizing the paediatric incontinence and constipation scoring system [DOI]
  16. 16 Hirschsprung disease: current perspectives [DOI]
  17. 17 Hirschsprung's disease [DOI]
  18. 18 How to manage a late diagnosed Hirschsprung’s disease [DOI]
  19. 19 Diagnosis of Hirschsprung's disease in children: Preliminary evaluation of a novel endoscopic technique for rectal biopsy [DOI]
  20. 20 Hirschsprung Disease [DOI]
  21. 21 Obstructive complications after pull-through for Hirschsprung’s disease: different causes and tailored management [DOI]
  22. 22 Treatment and Patient Reported Outcome in Children with Hirschsprung Disease and Concomitant Congenital Heart Disease [DOI]
  23. 23 Clinical outcomes and risk factors for postoperative complications in children with Hirschsprung's disease.
  24. 24 Comparison Between Swenson and Soave Pull-Through in Hirschprung Disease [DOI]
  25. 25 " The Laparoscopic Assisted Duhamel Pull through Procedure for Hirschsprung’s Disease: Our Technique and Short Term Results " [DOI]
  26. 26 Hirschsprung's disease: a review [DOI]

Cited by 4

4 citations reported by external sources — individual citing-article records aren't available to list yet.

Related research

Article metrics

Real usage data collected on this platform.

0

Page views

0

PDF downloads

0

Outbound clicks

4

Citations

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

No views recorded yet.

Traffic sources

Referring site, by host.

No traffic recorded yet.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.