Abstract
… Objective : To report early and late outcome after a one stage operation andcomparison with others similar work and to see feasibility of this procedures in our limitedresources. Patients and method: We have performed transanal pull through in department ofPaediatric Surgery, Nishtar Hospital Multan during May 2010 to May 2013. Fifty patients out of 117were selected, older than one year, non marasmic and diagnosed as short segmentaganglionosis by barium enema were selected. Transanal Swenson’s pull through wasperformed, aganglionic segment was decided on gross appearance (narrow) due to lack offrozen section facility, anastomosis made with 4/0 vicryl. Results: Procedure completed on anaverage within one hour, without any transfusion. Feeding was started from day one, manageablecomplications were observed in 25% patients, no mortality seen. Hospital stay was on anaverage 6 days. Conclusions: Transanal one stage pull through is very practical, can be donewithout facility of frozen section.
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