Post-surgical Outcomes of Different Surgical Techniques in Hirschsprung’s Disease: A Literature Review

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 10; p. e47012
• Main Authors: Munnangi, Pragathi, Sayed Mushir Ali, Anam, Deva, Sheryl, Kushwaha, Varsha, Srivastava, Shivangi, Boini, Aishwarya, Agarwal, Ritu S, Dinkar, Prateek Kumar, Chaudhary, Esha
• Format: Journal Article
• Language: English
• Published: Palo Alto Cureus Inc 14-10-2023; Cureus
• Subjects: Abdomen; Colon; Congenital diseases; Constipation; Fecal incontinence; Feces; Gastroenterology; General Surgery; Laparoscopy; Literature reviews; Patients; Pediatric Surgery; Pediatrics; Surgery; Surgical anastomosis; Surgical outcomes; Surgical techniques
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.47012

Hirschsprung's disease (HD) is a rare condition that affects newborns and is characterized by the lack of ganglion cells in the colon. Typical symptoms include difficulty passing stool, vomiting, and trouble feeding. Various surgical methods are available to manage the condition. The aim of the study is to investigate and compare the post-surgical outcomes of different surgical techniques used in the treatment of HD. A thorough literature search was conducted using various electronic databases to identify relevant studies to be referred to. Double-blinded screening of the identified articles led to the final selection of 40 out of 440 HD, including transanal endorectal pull-through (TERPT), laparoscopic approaches, and modified techniques. Several studies have investigated surgical procedures for HD, including TERPT, laparoscopic methods, and modified techniques. These have shown positive outcomes, with fewer complications, improved bowel function, and favorable cosmetic results. Individual patient characteristics and surgeon expertise should guide procedure selection. Surgery for HD aims to restore normal bowel function, but post-surgical outcomes can include constipation or fecal incontinence. Complications like enterocolitis, anastomotic stricture, and sphincter damage may occur. Laparoscopic approaches have shorter hospital stays. However long-term follow-up is essential to assess quality of life, psychological well-being, and potential side effects.