Transanal endorectal pull-through De la Torre as treatment for Hirschsprung´s disease, University Hospital, 2013-2015.

Abstract

Background: Hirschsprung´s disease (HD) is a common cause of lower bowel obstruction in neonates. In 1998, de la Torre and Ortega published an important modification of the Soave technique. Objective: To describe the experience in the treatment of Hirschsprung´s disease with the technique described by De la Torre, Hospital Escuela, Tegucigalpa, 2013-2015. Methodology: A descriptive cross-sectional study. Clinical records were reviewed and information on sociodemographic and clinical characteristics of patients was recorded. The results are presented as frequencies and percentages of the variables studied. Patients’ personal information was handled confidentially. Results: A total of 26 surgically intervened cases were identified during the study period. The 73.1% (19) male, 46.2% (12) were diagnosed before 12 months of life; without associated diseases. The biopsy diagnosed the disease in 100% of cases. The length of the resected colon was 10-20 cm in 88.5% (23), with a surgical time of 4-5 hours 69.2% (18). The 19.2% (5) had complications. Food was started in less than 5 days in 96.1% (25), hospital stay was less than 7 days in 88.5% (23). Discussion: Transanal endorectal pull-through with a short cuff is a safe operation with low incidence of operative and postoperative complications. Hospital stay and time to full enteral feeding was significantly shorter than following conventional procedures; this associates with lower hospital costs. We believe this is the treatment of choice for patients with Hirschsprung diseas