Congenital aganglionosis; single stage transanal pullthrough, a big relief to patients

ABSTRACT

To report early and late outcome after a one stage operation and comparison with others similar work and to see feasibility of this procedures in our limited resources. We have performed transanal pull through in department of Paediatric Surgery, Nishtar Hospital Multan during May 2010 to May 2013. Fifty patients out of 117 were selected, older than one year, non marasmic and diagnosed as short segment aganglionosis by barium enema were selected. Transanal Swenson's pull through was performed, aganglionic segment was decided on gross appearance [narrow] due to lack of frozen section facility, anastomosis made with 4/0 vicryl. Procedure completed on an average within one hour, without any transfusion. Feeding was started from day one, manageable complications were observed in 25% patients, no mortality seen. Hospital stay was on an average 6 days. Transanal one stage pull through is very practical, can be done without facility of frozen section