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Background / Aim : Many definitive operations exist for Hirshsprung’s disease, each of these operations is highly effective in the relief of functional obstruction, on the other hand each operation has some complications.The aim of this study is to evaluate Swenson’s operation as a method for treatment of Hirschsprung’s disease and assessment of short and long term outcome. Methodology : Forty patients under went Swenson’s operation over 4 years, they were 25 males and 15 females with mean age 6.64 years (range 6months12 years). Preoperative history and clinical assessment, laboratory, radiologically and manometry were done in all cases. Postoperative evaluation of outcome was studied. Results : No mortality in our cases .Soiling occured in 2 cases, minor incontinence in 7 cases (17.5 %) and major incontinence in 5 cases (12.5 %), enterocolitis in 5 cases (12.5 %) .constipation in 4 cases (10%). Leakage associated with wound and pelvic collection in 2 cases (5 %) and was treated with antibiotics and leaving the drains for 6 to 8 days. One case developed rectovaginal fistula, one case of anal stricture, one case of recurrent Hirschsprung s’ disease. On follow up these symptoms improved through along the first and second year postoperatively.

SWENSON’S OPERATION FOR TREATMENT Of HIRSCHSPRUNG’S DISEASE, SHORT AND LONG TERM OUTCOME.