Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2021  |  Volume : 26  |  Issue : 1  |  Page : 16--22

Optimism for the Single-stage Transanal Swenson in Neonates


Wesam Mohamed1, Mohamed I Elsawaf2, Aly I Shalaby1, Ahmed E Arafat1, Mahmoud M Marei1, Mohamed H Aboulfadl1, Sherif N Kaddah1, Gamal H El Tagy1, Khaled H K. Bahaaeldin1 
1 Department of Pediatric Surgery, Cairo University Specialized Pediatric Hospital, Cairo, Egypt
2 Department of Pediatric Surgery, Tanta University, Tanta, Egypt

Correspondence Address:
Prof. Mohamed I Elsawaf
Department of Pediatric Surgery, Tanta University, Tanta
Egypt

Background: Hirschsprung's disease (HD) has been traditionally treated from infancy onward and different techniques have been used including Swenson, Soave, and Duhamel procedures. The purpose of this study was to evaluate the transanal Swenson's procedure for classical rectosigmoid HD in neonates. Patient and Methods: This was a prospective study in which neonates diagnosed with HD were recruited from January 2017 to December 2018. Cases with a transition zone proximal to the midsigmoid were excluded. All patients underwent a transanal Swenson's procedure in the neonatal period using a unified protocol. Intraoperative course and postoperative outcomes such as leak, pelvic abscess, soiling, perianal excoriation, stricture, enterocolitis, and constipation were evaluated and all patients were followed for at least 6 months. Results: Twenty-three patients (17 males and 6 females) underwent transanal Swenson's procedure. The mean age was 22 ± 5.7 days. Follow-up ranged from 6 to 30 months. No anastomotic leak, retraction, or prolapse was reported. Mild perianal excoriations occurred early in 9 (39%) cases and all responded to medical treatment and disappeared before 2 months postoperatively. Stricture occurred in 2 (8%) patients, enterocolitis in 3 (13%), and constipation in 3 (13%). Conclusion: Transanal Swenson's procedure is feasible and can be performed safely in neonates with rectosigmoid HD with good short-term outcomes. Proper patient selection and standard protocol following fine procedural hall-marks and details are keys for optimal results and patient satisfaction.


How to cite this article:
Mohamed W, Elsawaf MI, Shalaby AI, Arafat AE, Marei MM, Aboulfadl MH, Kaddah SN, El Tagy GH, K. Bahaaeldin KH. Optimism for the Single-stage Transanal Swenson in Neonates.J Indian Assoc Pediatr Surg 2021;26:16-22


How to cite this URL:
Mohamed W, Elsawaf MI, Shalaby AI, Arafat AE, Marei MM, Aboulfadl MH, Kaddah SN, El Tagy GH, K. Bahaaeldin KH. Optimism for the Single-stage Transanal Swenson in Neonates. J Indian Assoc Pediatr Surg [serial online] 2021 [cited 2022 Oct 6 ];26:16-22
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=1;spage=16;epage=22;aulast=Mohamed;type=0