Risk factors for short-term complications graded by Clavien-Dindo after transanal endorectal pull-through in patients with Hirschsprung disease
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In brief
In brief
Retrospective analysis of 106 pediatric patients undergoing transanal endorectal pull-through for Hirschsprung disease reveals a 21% complication rate within 30 days, including two deaths potentially linked to postoperative rectal irrigation causing perforation. Study identifies risk factors for short-term complications using Clavien-Dindo grading to improve surgical outcomes.
Written by the GCMD Library team from the article.
Background
Transanal endorectal pull-through (TERPT) is a common surgical procedure in Hirschsprung disease (HD). Aim of this study was to gain insight in the prevalence and severity of postoperative complications within 30-days after TERPT and to identify patient and perioperative characteristics, associated with the development of short-term postoperative complications.
Methods
This study retrospectively analyzed data of children with HD and treated with TERPT in our center between 2005-2020. Complications emerging within 30-days after surgery were assessed using Clavien-Dindo (CD). Patient and perioperative characteristic as predictor of a complication were tested using (multivariable) logistic regression analysis.
Results
Twenty-two of 106 (21%) included patients (17 transanal only; 77 laparoscopic-assisted; 12 laparotomy-assisted) developed 35 complications, including two patients (1.8%) that deceased. We suspect postoperative rectal irrigation leading to perforation as cause of death in both patients. Six patients (6%) had a minor (CD