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Transanal pullthrough for Hirschsprung disease: matched case-control comparison of Soave and Swenson techniques.
[hirschsprung disease]
Both
the
Swenson
and
the
Soave
procedures
have
been
adapted
to
a
transanal
approach
.
The
purpose
of
this
study
was
to
compare
outcomes
following
the
transanal
Swenson
and
Soave
procedures
using
a
matched
case
control
analysis
.
A
retrospective
chart
review
was
performed
to
identify
all
transanal
Soave
and
Swenson
pullthroughs
done
at
2
tertiary
care
children
's
hospitals
between
2000
and
2010
.
Patients
were
matched
for
gestational
age
,
mean
weight
at
time
of
the
operation
,
level
of
aganglionosis
,
and
presence
of
co
-morbidities
.
Student
's
t-test
and
chi
-squared
analysis
were
performed
.
Fifty
-
four
patients
(
Soave
27
,
Swenson
27
)
had
adequate
data
for
matching
and
analysis
.
Mean
follow-up
was
4
±
1
.
6
years
and
3
.
2
±
2
.
7
years
for
the
Soave
and
Swenson
groups
,
respectively
.
No
significant
differences
in
mean
operating
time
(
Soave
:
191
±
55
,
Swenson
:
167
±
61
min
,
p
=
0
.
6
)
,
overall
hospital
stay
(
6
±
4
vs
7
.
8
±
5
days
,
p
=
0
.
7
)
,
and
number
with
intra-operative
complications
(
3
vs
4
,
p
=
1
.
0
)
,
post-operative
obstructive
symptoms
(
6
vs
9
,
p
=
0
.
5
)
,
enterocolitis
episodes
(
4
vs
4
,
p
=
1
.
0
)
,
or
fecal
incontinence
(
0
vs
2
,
p
=
0
.
4
)
were
noted
.
After
controlling
for
potential
confounders
,
there
were
no
significant
differences
in
the
short
and
intermediate
term
outcome
between
transanal
Soave
and
transanal
Swenson
pullthrough
procedures
.
Diseases
Validation
Diseases presenting
"fecal incontinence"
symptom
hirschsprung disease
homocystinuria without methylmalonic aciduria
This symptom has already been validated
