QUALITY OF LIFE OF CHILDREN WITH HIRSPRUNG'S DISEASE AFTER OPERATION DE LA TORRE-ORTEGA
Abstract
The article presents the results of a study of the functional activity and quality of life of children with Hirschsprung's disease, operated on using the improved De La Torre-Ortega method and the classical Soave-Lenyushkin method. Purpose of the study. To study indicators of functional activity and quality of life of children with Hirschsprung's disease operated on with the De La Torre-Ortega method. Material and research methods. The study included 21 children who were operated on for Hirschsprung's disease at the clinical sites of the Department of Pediatric Surgery of the Andijan State Medical Institute. The patients were aged from 2 to 18 years. 4 (19.04%) patients were admitted to the clinic in the stage of decompensation, 12 (57.14%) - in the stage of subcompensation, 5 (23.8%) - in the stage of compensation. In 13 (61.9%) children, an improved technique of the De La Torre-Ortega operation was performed, and in 8 (38.1%) transanal resection of the colon was performed using the classical Soave-Lenyushkin technique. The quality of life of operated children was assessed using the adapted PedsQL™4.0 scale, which includes a total of 21 questions assessing physical, emotional, social and role functioning. Analysis of the quality of life of children with Hirschsprung's disease showed a significant increase in indicators on all scales when performing the improved technique of the De La Torre-Ortega operation to 84.1-92.3% in relation to the group of healthy children with a change in the value of the total score from 52.8±10 .0 to 70.4±6.4 (t=6.79; p<0.001).
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List of references
Bradnock TJ, Knight M, Kenny S, Nair M, Walker GM; British Association of Paediatric Surgeons Congenital Anomalies Surveillance System. Hirschsprung’s disease in the UK and Ireland: incidence and anomalies. Arch Dis Child 2017:102(8):722-727. https://doi.org/10.1136/archdischild-2016-311872. DOI: https://doi.org/10.1136/archdischild-2016-311872
Pakarinen M. Perioperative Complications of Transanal Pull-through Surgery for Hirschsprung’s Disease. Eur J Pediatr Surg 2018:28(2):152-155. https://doi.org/10.1055/s-0038-1632393. DOI: https://doi.org/10.1055/s-0038-1632393
Levitt MA, Hamrick MC, Eradi B, Bischoff A, Hall J, Peña A. Transanal, full-thickness, Swenson-like approach for Hirschsprung disease. J Pediatr Surg 2013;48:2289–95. https://doi.org/10.1016/j.jpedsurg.2013.03.002. DOI: https://doi.org/10.1016/j.jpedsurg.2013.03.002
Byström C, Östlund S, Hoff N, Wester T, Granström AL. Evaluation of Bowel Function, Urinary Tract Function, and Quality of Life after Transanal Endorectal Pull-Through Surgery for Hirschsprung’s Disease. Eur J Pediatr Surg 2021;31:40–8. https://doi.org/10.1055/s-0040-1715612. DOI: https://doi.org/10.1055/s-0040-1715612
De la Torre-Mondragón L, Ortega-Salgado JA. Transanal endorectal pull-through for Hirschsprung’s disease. J Pediatr Surg 1998;33:1283–6. https://doi.org/10.1016/s0022-3468(98)90169-5. DOI: https://doi.org/10.1016/S0022-3468(98)90169-5
Jiao C, Yu D, Li D, Wang G, Feng J. A Long-Term Follow-Up of a New Surgery Method: Laparoscope-Assisted Heart-Shaped Anastomosis for Hirschsprung’s Disease. J Laparoendosc Adv Surg Tech A 2018;28:471–5. https://doi.org/10.1089/lap.2017.0275. DOI: https://doi.org/10.1089/lap.2017.0275
Dingemann J, Dellenmark-Blom M, Quitmann JH. Health-Related Quality of Life in Pediatric Surgical Patients and their Caretakers. Eur J Pediatr Surg 2020;30:223–4. https://doi.org/10.1055/s-0040-1713596. DOI: https://doi.org/10.1055/s-0040-1713596
[Garcia LFDS, Manna TD, Passone C de GB, Oliveira LS de. Translation and validation of Pediatric Quality of Life InventoryTM 3.0 Diabetes Module (PedsQLTM 3.0 Diabetes Module) in Brazil-Portuguese language. J Pediatr (Rio J) 2018;94:680–8. https://doi.org/10.1016/j.jped.2017.09.009. DOI: https://doi.org/10.1016/j.jped.2017.09.009
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