Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2008  |  Volume : 13  |  Issue : 1  |  Page : 14--17

Posterior sagittal approach in complicated Swenson俟Q製 pull-through


OA Sowande, O Adejuyigbe 
 Department of Surgery, Pediatric Surgery Unit, Obafemi Awolowo University Teaching Hospital, PMB 5538, Ile Ife, Osun State, Nigeria

Correspondence Address:
O A Sowande
Department of Surgery, Obafemi Awolowo University Teaching Hospital, PMB 5538, Ile Ife
Nigeria

Context: Swenson俟Q製 pull-through is one of the standard operations for the treatment of children with Hirschsprung俟Q製 disease. Complications arising from the operation are difficult to treat because of fibrosis in the pelvis. The posterior sagittal approach may be a safer alternative. Aims: The aim of this paper is to highlight our experience with the use of the posterior sagittal trans-sphincteric approach to treat unusual complications of Swenson俟Q製 pull-through. Settings and Design: A retrospective study of four patients who had posterior sagittal repair of their complications of Swenson pull-through at the Obafemi Awolowo University Teaching Hospital, Ile Ife, Nigeria. Materials and Methods: Four cases of Hirschsprung俟Q製 disease that developed post-Swenson pull-through complications are presented. There were three males and one female. Their age ranged between 10 months and 15 years. The patients had rectovaginal fistula, rectourethral fistula, high trans-sphincteric fistula-in-ano and complete anastomotic disruption. Result: All the patients were successfully treated using the posterior sagittal approach. The approach was used twice in one patient without significant sequelae. The three patients were old enough to be assessed and had a Kelly score of 4-6 at follow-up. Conclusion: The posterior sagittal technique offers a safe approach to treat the complications of Swenson pull-through.


How to cite this article:
Sowande O A, Adejuyigbe O. Posterior sagittal approach in complicated Swenson's pull-through.J Indian Assoc Pediatr Surg 2008;13:14-17


How to cite this URL:
Sowande O A, Adejuyigbe O. Posterior sagittal approach in complicated Swenson's pull-through. J Indian Assoc Pediatr Surg [serial online] 2008 [cited 2021 Jun 25 ];13:14-17
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2008;volume=13;issue=1;spage=14;epage=17;aulast=Sowande;type=0