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01.12.2023 | Original Article

Adopting the Swenson-like technique for patients with Hirschsprung disease in Vietnam

verfasst von: Bich-Uyen Nguyen, Megan Thuy Vu, Quoc-Tung Pham, Viet-Hung Nguyen Phung, Quynh-Nhu Nguyen Dang, Thin Thai, Duc-Trong Le Vo, Thanh Thi Tran, Man Minh Huynh, Quynh Kim Huynh, Thoi Kim Ngo, Hieu Trung Dao

Erschienen in: Pediatric Surgery International | Ausgabe 1/2023

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Abstract

Purpose

To evaluate outcomes of adopting the Swenson-like technique in transanal pull-through for Hirschsprung disease (HD) at a children’s institution in Southeast Asia.

Methods

A retrospective chart review was performed over 42 months at a safety-net pediatric hospital in Vietnam.

Results

From January 2019 to June 2022, the Swenson-like technique was implemented and performed on 139 patients (115 male, 24 female, mean age 6.4 ± 11.96 months). There were 123 transanal-only resections, 5 transanal plus laparoscopic, and 11 transanal plus laparotomy. The mean operative time was 70.9 ± 43.6 min. The average length of the resected specimen was 18.8 ± 10.9 cm. No urethral or vaginal injuries occurred. Postoperative complications included 1 anastomotic leak (0.7%), 4 anastomotic stenoses (2.8%), and 2 perianal abscesses in the setting of recurrent enterocolitis (1.4%). With a mean follow-up of 26 ± 11.9 months (range 3–48 months), there were 25 enterocolitis cases (17.9%), 45 patients with constipation (32.3%), 1 episode of fecal incontinence lasting longer than 6 months (0.7%), and 1 rectal-vestibular fistula noted one year postoperatively (0.7%). There were no deaths.

Conclusion

The Swenson-like technique in transanal pull-through for Hirschsprung's disease was safely adopted at our institution. The results show that applying this technique uniformly in a single institution led to excellent outcomes.

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Titel: Adopting the Swenson-like technique for patients with Hirschsprung disease in Vietnam
verfasst von: Bich-Uyen Nguyen
Megan Thuy Vu
Quoc-Tung Pham
Viet-Hung Nguyen Phung
Quynh-Nhu Nguyen Dang
Thin Thai
Duc-Trong Le Vo
Thanh Thi Tran
Man Minh Huynh
Quynh Kim Huynh
Thoi Kim Ngo
Hieu Trung Dao
Publikationsdatum: 01.12.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2023
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05415-z

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Adopting the Swenson-like technique for patients with Hirschsprung disease in Vietnam