Comparison Between Swenson and Soave-Boley Procedure in the Management of Hirschsprung’s Disease

Authors

  • ASM Lokman Hossain Chowdhury Assistant Professor, Department of Pediatric Surgery, Dhaka Medical College, Dhaka, Bangladesh.
  • Md Shahid Karim Assistant Professor, Department of Pediatric Surgery, Dhaka Medical College, Dhaka, Bangladesh.
  • Momotaj Begum Assistant Professor, Department of Physiology, Dhaka Medical College, Dhaka
  • Md Kabirul Islam Professor & Head of the Department of Paediatric Surgery, Dhaka Medical College Hospital, Bangladesh.
  • Md Shah Alam Talukder Associate Professor, Department of Paediatric Surgery, Dhaka Medical College & Hospital, Bangladesh.
  • Md Toufique Ehsan Assistant Professor, Department of Paediatric Surgery, Holy Family Red Crescent Medical College Hospital, Dhaka Bangladesh.

DOI:

https://doi.org/10.3329/jom.v9i1.1420

Abstract

Objective: The purpose of study was to compare Swenson & Soave-Boley procedure in the staged operative treatment of Hirschsprung's Disease (HD).

Methods : During 16 months of study period, 25 patients of histopathologically confirmed HD were selected for staged operative treatment, following certain inclusion & exclusion criteria & were admitted & operated at DSH; after completion of all stages operation they were followed up & studied under two groups : staged Swenson procedure (Group-A; na=13) & staged Soave-Boley procedure (Group-B, nb=12). They were similar for age, sex, body weight, reselected length of aganglionic segment & postoperative follow up. The level of ganglionosis was assessed from marking biopsy. Preoperative & postoperative observations of Swenson procedure were analyzed & compared with those of Soave-Boley procedure in the staged operative treatment of HD statistically (unpaired ât' test & Ï2 test)

Results : For group A (Swenson procedure) the operative time was significantly lesser (unpaired ât' test : P < 0.01) than for the group B (Soave-Boley procedure). First bowel movement after colostomy closure was also significantly lesser in duration in Swenson procedure (Ï2  test :P < 0.05).

DOI = 10.3329/jom.v9i1.1420

J MEDICINE 2008; 9 : 16-19  

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How to Cite

Chowdhury, A. L. H., Karim, M. S., Begum, M., Islam, M. K., Talukder, M. S. A., & Ehsan, M. T. (2008). Comparison Between Swenson and Soave-Boley Procedure in the Management of Hirschsprung’s Disease. Journal of Medicine, 9(1), 16–19. https://doi.org/10.3329/jom.v9i1.1420

Issue

Vol. 9 No. 1 (2008)

Section

Original Articles

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