Outcome of multiple stages endorectal pull-through [soave-boley operation] for hirschsprung's disease

Thirty patients with Hirschsprung's disease were selected for this study. Multiple stage endorectal pull-through was performed for all cases. The complications were analyzed into three phases. Seventeen cases passed smoothly without complications, while thirteen cases developed complications. The complication rate decreased as the time passes. They were thirteen cases during the early phase, nine of them continued to suffer from complications during the intermediate phase, while only seven cases still suffering from some complications during the late phase. Patient satisfaction was encountered in 90% and 10% were unsatisfied [suffering from stool soiling]. Recurrent symptoms of Hirschsprung's disease were not found. Soave-Boley operation has many advantages and has no significant major complications with an acceptable outcome for most of the patients treated for Hirschsprung's disease

One stage endorectal pull-through operation for Hirschsprung's disease, is it a safe and effective procedure or not?

Twenty patients out of sixty suffering from Hirschsprung's disease "H.D." were selected for this study, and admitted at Assiut U.H. and Sohag U.H. from the period of Jan. 93 to Jan. 1996. The criteria which directed our attention to perform pull-through as one stage without colostomy were [1] Lack history of recent or recurrent attacks of enterocolitis. [2] The patient was not severely ill at the time of diagnosis. [3] The patient had reasonable body weight [more than 75% of the expected average body weight]. [4] Presence of mild abdominal distention. [5] The child was not presenting with complete obstruction. [6] No gross dilatation of the colon as demonstrated by barium enema. [7] Co-operative parents. Original Soave's operation without preliminary colostomy was performed. No mortality was recorded in this study. Complications are discussed. One stage endorectal pull-through operation is a safe and satisfactory procedure for management of "H.D." in selected cases. It is free from significant or major complications, avoids the risk of multiple operations and successive exposures to anaesthesia. It is a cost and time saving operation for patient and hospital and gives the patient a chance to return to normal life in a short time