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Quality of life and parents’ satisfaction for Duhamel’s versus transanal endorectal pull-through for treatment of Hirschsprung’s disease in children (Abstract)

Mustafawi AR. MD*, Mohamed E Hassan. MD**

*Pediatric surgery department, Al Wasl Hospital, Dubai, UAE
** Consultant pediatric surgery, Al Qassemi Hospital, Sharjah, UAE

 

Abstract

Background: The aim of this study is to compare surgical outcome as well as parents’ satisfaction and quality of life for children after the transanal and the Duhamel pull through operations in single centre experience.

Materials and methods: A retrospective cohort file review of all cases of HD treated surgically in our institution was conducted. Patients were classified into, group 1 (transanal endorectal pull through), group 2 (Duhamel pull through). Three questionnaires designed. Demographic data, perioperative data, complications and length of follow up data were statistically analyzed.

Results: 69 patients were included. Medications were required postoperatively to 27 % in group 1 versus 60.7% in group 2. In group 1, 22.5% were fairly satisfied and 69% were satisfied, while in group 2, 31.8% of parents were poorly satisfied, 40.9% were fairly satisfied and 27.3% were satisfied. No patient older than 3 years had poor results in group 1 versus 33.3% in group 2.

Conclusions: Our experience with transanal pull through showed less incidence for postoperative enterocolitis, failure to thrive, redo surgery and need for anti-constipating medications than Duhamel pull through. Although anorectal scoring system showed better results in transanal pull through than Duhamel pull through in all age groups, it was statistically significant in age above 3 years. There was statistically significant better parents’ satisfaction and quality of life in transanal group than Duhamel pull through.

Key words: Hirschsprung’s disease, parents’ satisfaction, quality of life, children.

 

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