Post-operative Advantages of Transanal Endo-rectal Pull Through (TERPT) over Swenson's Procedure in Terms of General Surgical Complications


Waliullah A S Md. 1 , Shoheli Alam2 , M A Aziz3 , A R Khan4 , M T H Siddiqui5


Popular Swenson's pull through is still the most commonly practiced • Gold Standard' of operative treannem for rectosigmoid Hirschspnare's disease. Bm minimally invasive renowital endo-rectal pull through (TERPT) is now being increasingly practiced workhrede for its treatment of many centres. Here e.rperiences at Dhaka Shish', Hospital regarding the post-operative advantages of TERPT over Swenson's procedure are compared in terms of three general surgical complication., namely, unary voiding dysfituction. wound sepsis sod anadontoric stenosis. is is a prospecthe study during January 2000 to December 2001 on 32 rege. bock weight, 'erected rectosigmaid length and follow-up duration matched) biopsy confirmed patients of rectosigmoid Hirschspnare's disease. The patients were divided into tire Groups: Group A (a a !E)and Group B pn = 16) who under went TERPT and Swenson's pull through respectively. k; (with Votes correction) test was used for statistical analysis. ln Group A (TERPT) the post-operative urinary voiding dysfunction (retentioreincontinence). wound sepsis and anastomotic stenosis were significantly lesser than the Group B (Swenson' s). Through this short tear post-operative comparative study. TERPT was found to be more advantageous than the S•enson's pull through procedure in trans 4 three general mimic& post-operative complications.


  1. Assistant Professor. Department of Pacdiatric Surgery

    Bangabandhu Sheikh Mujib Medical University, Dhaka

  2. Asssstant Professors. Department of Pacdiainic Surgery

    Bangabandhu Sheikh Mujib Medical University, Dhaka

  3. Asguciate Professor, Department of Pacdiatric Surgery

  4. Professor. Department of Paediatric Surgery

    Bangladesh Institue of Child Health & Dhaka Shishu Hospital, Dhaka

  5. Associate Professor. Department of Pacdiatric Surgery

    Bangabandhu Sheikh Mujib Medical University, Dhaka

Volume 12, Number 1 January 2009
Page: 45212