One Stage Transanal Swenson-Like Pull-Through Operation: Our Early Experience

Operative management of Hisrchsprung Disease (HD) has evolved from staged operation to one stage minimal invasive operation. One stage transanal Swenson-like pullthrough operation is the latest concept of one stage procedure in managing HD. We evaluate early outcome of one stage transanal Swenson-like pullthrough operation for managing PH located at rectosigmoid in our institution during 2017. Our follow up evaluate the incidence of post operative stricture or stenosis, anastomotic leakage, enterocolitis, urinary dan defecating function. Six patients underwent transanal resection with age ranging from 11 months to 5 years. Average length of resected intestinal is 10 ± 5 cm. Mostly, patient came back to office after 3 months. No post operative incidence of urethral injury, anastomotic leakage or retraction at anastomotic site were reported. There were reports of 1 patient with intraoperative bleeding, 1 patient anal excoriation due to enterocolitis and 1 patient with stenosis. There were no patient reported with urinating and defecating disorders. There were no mortality incidence in this study. Despite the need of long term observation for evaluating urinating and defecating function, modification of transanal Swenson-like method might be used in managing HD.