Volume 12
Number 1 January 2009Post-operative Advantages of Transanal Endo-rectal Pull Through (TERPT) over Swenson's Procedure in Terms of General Surgical Complications
DOI: https://doi.org/10.47648/jmsr.2009.v1201.02
Waliullah A S Md. 1 , Shoheli Alam2 , M A Aziz3 , A R Khan4 , M T H Siddiqui5
Abstract
Popular Swenson's pull through is still the most commonly practiced • Gold Standard' of operative treannem for rectosigmoid Hirschspnare's disease. Bm minimally invasive renowital endo-rectal pull through (TERPT) is now being increasingly practiced workhrede for its treatment of many centres. Here e.rperiences at Dhaka Shish', Hospital regarding the post-operative advantages of TERPT over Swenson's procedure are compared in terms of three general surgical complication., namely, unary voiding dysfituction. wound sepsis sod anadontoric stenosis. is is a prospecthe study during January 2000 to December 2001 on 32 rege. bock weight, 'erected rectosigmaid length and follow-up duration matched) biopsy confirmed patients of rectosigmoid Hirschspnare's disease. The patients were divided into tire Groups: Group A (a a !E)and Group B pn = 16) who under went TERPT and Swenson's pull through respectively. k; (with Votes correction) test was used for statistical analysis. ln Group A (TERPT) the post-operative urinary voiding dysfunction (retentioreincontinence). wound sepsis and anastomotic stenosis were significantly lesser than the Group B (Swenson' s). Through this short tear post-operative comparative study. TERPT was found to be more advantageous than the S•enson's pull through procedure in trans 4 three general mimic& post-operative complications.
Keywords:
- Assistant Professor. Department of Pacdiatric Surgery
- Asssstant Professors. Department of Pacdiainic Surgery
- Asguciate Professor, Department of Pacdiatric Surgery
- Professor. Department of Paediatric Surgery
- Associate Professor. Department of Pacdiatric Surgery