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Spectrum of colorectal surgery operations performed in a single paediatric surgery unit in sub-Saharan Africa.
[hirschsprung disease]
Colorectal
surgery
is
a
budding
subspecialty
of
paediatric
surgery
and
typifies
the
advances
in
the
management
of
surgical
conditions
in
children
.
The
colorectal
burden
in
resource
poor
settings
,
though
reported
to
be
challenging
,
remains
undocumented
.
The
aim
of
the
present
study
was
to
review
the
typical
operative
paediatric
colorectal
caseload
in
a
single
centre
in
sub-
Saharan
Africa
.
A
retrospective
review
of
the
operative
records
of
the
division
was
conducted
between
2009
and
2013
.
Data
were
obtained
on
the
demography
,
diagnosis
,
procedure
performed
and
type
of
anaesthesia
used
;
entered
into
a
computer
using
SPSS
(
IBM
Corp
;
Armonk
,
NY
)
and
analysed
.
A
total
of
120
colorectal
operations
were
performed
in
90
patients
with
age
ranging
from
1
to
13
years
.
The
major
diagnoses
were
anorectal
malformations
(
64
.
4
%
)
and
Hirschsprung
disease
(
HD
)
(
31
.
1
%
)
.
The
most
often
performed
operations
were
colostomy
(
45
.
0
%
)
,
posterior
sagittal
anorectoplasty
(
17
.
5
%
)
and
pull
through
(
17
.
5
%
)
.
The
number
of
colorectal
operations
performed
each
year
ranged
from
12
in
2009
to
36
in
2012
.
A
higher
proportion
of
patients
with
anorectal
malformations
(
46
.
6
%
)
presented
within
the
neonatal
period
compared
with
those
with
HD
(
17
.
9
%
)
,
P
=
0
.
005
.
The
age
at
definitive
surgery
was
less
in
patients
with
anorectal
malformations
compared
to
patients
with
HD
(
P
=
0
.
003
)
.
Congenital
malformations
represent
the
bulk
of
the
caseload
in
paediatric
colorectal
surgery
in
sub-
Saharan
Africa
and
patients
typically
present
late
;
although
patients
with
anorectal
malformations
present
and
are
operated
upon
significantly
earlier
than
those
with
HD
.
