One patient, an eight-month-old mal

One patient, an eight-month-old male infant died in the immediate postoperative period but the cause of death could not be ascertained as no authopsy was performed. He had a two-staged operation. Postoperative complications were as listed in Table 3. The commonest post-SPT complication was intestinal obstruction from adhesions which was managed conservatively in two patients while the third patient required laparotomy. Two other patients required laparotomy for drainage of pelvic abscess following anastomotic leak. One of them later required a posterior sagittal approach to restore colo-anal continuity. One patient who had primary pull-through required a redo because of residual aganglionosis. The duration of hospitalization following pull-through ranged from seven days to 44 days (median 11 days). Duration of follow-up ranged from four months to seven years (median six months).

In 30 (90.1%) of the patients, there was continence to flatus and faeces. The stooling frequency varied from once daily to eight times daily (median three times daily). There were two (6.1%) cases of occasional soiling which improved over time while there was one (3%) case of night-time incontinence. This patient had staged procedure. One of our patients had suspected enterocolitis based on clinical presentation which responded to intravenous fluids and antibiotics.