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Management of Hirschsprung’s disease: a comparison of Soave’s and Duhamel’s pull-through methods

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Abstract

The aim of this study was to compare the safety and benefits of Soave’s and Duhamel’s pull-through procedures for the management of Hirschsprung’s disease (HD). The patients consisted of 33 boys (85%) and six girls (15%), a ratio of 5.5:1. Their ages ranged from 1 day to 8 years. Rectal biopsy was performed to confirm the diagnosis of HD. Twenty-five patients (64%) underwent Soave’s pull-through, and 13 patients (33%) underwent Duhamel’s pull-through. Twenty children (80%) out of the 25 undergoing Soave’s pull-through recovered uneventfully, compared with 11 out of the 13 (84%) undergoing Duhamel’s pull-through. The complications following Soave’s procedure included strictures in two patients (8%), enterocolitis in another two (8%), and anastomotic leakage in one (4%). Additional operations were required in two patients (8%). The complications following Duhamel’s procedure included stricture in one patient (7.6%) and enterocolitis in another (7.6%). An additional operation was required in one patient (7.6%). The rate of constipation was 16% after the Soave’s pull-through compared with 15% after the Duhamel’s pull-through. There was no significant difference between the two procedures in postoperative surgical morbidity or in long-term risk of enterocolitis. In the light of present findings, both procedures appear comparable in terms of efficiency and associated complications.

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Acknowledgements

The authors wish to thank Dr. Haseeb Ahmed Khan for technical advice and Ms. Tess Jaime for secretarial assistance.

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Authors and Affiliations

  1. Department of Surgery, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia

    Waleed Saleh, Khalid Rasheed, Mohammed Al Mohaidly, Hala Kfoury & Assia Al Rawaf

  2. Research Center, Armed Forces Hospital, P.O. Box 7897 (W-912), Riyadh, 11159, Kingdom of Saudi Arabia

    Mohammad Tariq

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  1. Waleed Saleh
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  2. Khalid Rasheed
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  3. Mohammed Al Mohaidly
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  4. Hala Kfoury
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  5. Mohammad Tariq
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  6. Assia Al Rawaf
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Correspondence to Mohammad Tariq.

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Saleh, W., Rasheed, K., Mohaidly, M.A. et al. Management of Hirschsprung’s disease: a comparison of Soave’s and Duhamel’s pull-through methods. Ped Surgery Int 20, 590–593 (2004). https://doi.org/10.1007/s00383-004-1237-0

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  • DOI: https://doi.org/10.1007/s00383-004-1237-0

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