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Comparison of duhamel's pull-through procedure versus soave's pull through procedure for the management of hirschsprung's disease

Author(s)
Naveed Haider Department of Pediatric Surgery, D.G.Khan Medical College and DHQ Teaching Hospital D.G.Khan Pakistan
Soban Hameed Department of Pediatric Surgery, Children's Medical University and Institute of Child Health Lahore, Pakistan
Khola Binet Mansoor Department of Pediatric Medicine Unit 2, Mayo Hospital Lahore, Pakistan
Hassan Huda Abbasi Department of Public Health, University of the Punjab, Lahore, Pakistan
Zahid Mahmood Department of Public Health, University of the Punjab, Lahore, Pakistan
Khada Naveed Department of Public Health, University of the Punjab, Lahore, Pakistan
Javeria Saleem Department of Public Health, University of the Punjab, Lahore, Pakistan
Abstract
The Hirschsprung's disease is managed via surgical procedures. Mostly two different procedures are common called Soave's and Duhamel's. we compared the procedure safety and output bene??ts and complications rate of these two studies. Objectives: To ??nd the e??cacy of Soave's and Duhamel's pull-through procedure that which method is more safe and e??cient for the children with Hirschsprung's disease. Methods: Randomized clinical trials were conducted. The sample included was consists of 60 children of less than 1 year of age up to 3 years. Sample size was calculated by world health sample size calculator for randomized control trials. With the con??dence interval of 95%. Purposive sampling technique was used to collect the data. The study used paired t-test to compare the outcomes of two surgical procedures. 30 patients got Soave's procedure and 30 underwent Duhamel's procedure. Overall 54 boys and 6 girls were under study. Paired t-test were used to analyze the data. Results: In Soave's pull-through the 26 patients recovered without any serious complications. If we compared this to the Duhamel's procedure output the complications rate was a little high 23 patients recovered uneventfully while complications reported in 7 patients. The results of this study prove the signi??cant ??ndings in terms of e??ciency and associated complications. Conclusion: In the light of above mentioned clinical trials the Soave's procedure covers less frequency of complications and cost-e??cient in comparison to Duhamel's pull-through procedure in which the complications rate was signi??cantly higher and a costly procedure.
Publication Details
Page(s) 146-150
DOI 10.54393/pjhs.v4i01.503
Published Journal: Pakistan Journal of Health Sciences, Volume: 4, Issue: 1, Year: 2023

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Keywords
surgical procedures, Hirschsprung's Disease, Duhamel's, Soave's
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