The Correlation Between Age of Operation and Postoperative Early Complication in Hirschsprung Patients Operated Using the Swenson Pull-Through Technique
Putu Yudis Pramana1*, Kadek Deddy Ariyanta2, I Wayan Niryana3, I Wayan Sudarsa4, IGAB Krisna Wibawa5, and I Made Mulyawan6
Abstract
Background: Hirschsprung is a disease characterized by the absence of ganglion cells in the myenteric glands and submucosal plexus of the intestine. The principle of operation for Hirschsprung patients is to remove the aganglionic part, followed by anastomosis of the proximal and distal ganglionic parts. However, postoperative complications that occur less than 30 days after definitive surgery can still occur. Method: Analytical observational research with a retrospective cohort design using the Windows Statistical Package for the Social Sciences (SPSS) version 24 program. Results: 40 research subjects were divided into 20 subjects in the operating age group > 28 days and ≤ 28 days. It was found that there were 12 subjects with complications in the ≤28 days group and 9 subjects in the > 28 days group (RR 1.333 95%CI: 0.730 – 2.435). Three patients had low body weight, and two of them had complications with statistical insignificance (p 0.100). The relationship between gender, duration of surgery, amount of bleeding, and length of the aganglion segment was not statistically significant (p>0.05). There were 10 subjects with complications in the group with assistance with laparotomy or laparoscopy. The analysis showed a statistically significant (p=0.032) relative risk value of 1.888 (95%CI: 1.096 – 3.252). Conclusion: The risk of early complications in Hirschsprung neonate patients aged before 28 days is not significantly different compared to patients aged after 28 days – 1 year.
Keywords
complications; postoperative; Hirschsprung; neonate
Cite This Article
Pramana, P. Y., Ariyanta, K. D., Niryana, K. D., Sudarsa, I. W., Wibawa, I. K., Mulyawan, I. M. (2024). The Correlation Between Age of Operation and Postoperative Early Complication in Hirschsprung Patients Operated Using the Swenson Pull-Through Technique. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 3: May-Jun 2024, Pages 467-475, URL: https://www.ijscia.com/wp-content/uploads/2024/05/Volume5-Issue3-May-Jun-No.607-467-475.pdf
Volume 5 | Issue 3: May-Jun 2024
