The Prognoses Factors That Influenced The Occurrence of Post-Endorectal Surgery Constipation of Pull Through at Dr. Sardjito Hospital

Ardean, Rochadi

Residence of General Surgery

Faculty of Medicine of UGM/Dr. Sardjito Hospital Yogyakarta

Division of Surgery Faculty of Medicine of UGM/Dr. Sardjito Hospital

Sub-Division of Pediatric Surgery Faculty of Medicine of UGM/Dr. Sardjito Hospital

Abstract

Background

The Hirschsprung disease is a disorder of clinical manifestation caused by the absence of Auerbach and Meisner ganglions.  The genetical factor was the main factor causing this disorder due to the neurohistopathological disturbance. The mortality rate of Hirschsprung disease on the untreated neonates was so high, it reached 80%, whereas the post-surgical complicating constipation of ERPT was 42.2%.

Purpose

To get some information related to the influencing factors of the occurrence of post-surgical constipation of ERPT at the hospital of Dr. Sardjito Yogyakarta.

Method

This study was designed by retrospective observation.  Data was gathered using medical records and control data of poly.  Data were categorized by age, sex, birth weight, weight at surgery, albumen content, Hb and the occurrence of post-surgical constipation of ERPT.

Data was collected from 2005-2010.

Results

This study used 66 samples and found post-surgerical constipations of ERPT in 6 patients (9.09%).  It did not find any significant correlation from the results between the occurrence of post-surgical constipation of ERPT and sex (p = 0.102), age (p = 0.660), birth weight (p = 0.135), weight at surgery (p = 0.667), Hb (p = 0.532), albumin content (p = 0.205).  There were 2 patients (3.03%) who died.

Conclusion

It was occurred post-surgical constipation of ERPT in 6 patients (9,09%).  There were 2 patients (3.03%) who died.  It did not find any prognoses factor that influenced the post-surgical constipation of ERPT, but there was a significant correlation between post-surgery constipation of ERPT and living resistance (p = 0.000).

Keywords: Hirschsprung Disease, ERPT, Constipation, Living Resistance