Evolution of the technique in the transanal pull-through for Hirschsprung's disease: effect on outcome

Abstract Background The transanal pull-through has become the standard operation for Hirschsprung's disease in many pediatric surgical centers. Over the past 8 years, we have modified our technique by leaving a short—rather than a long—rectal cuff and by doing routine intraabdominal colonic bio...

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Bibliographic Details
Published in:Journal of pediatric surgery 2007, Vol.42 (1), p.36-40
Main Authors: Nasr, Ahmed, Langer, Jacob C
Format: Article
Language:English
Subjects:
Colectomy - methods
Female
Hirschsprung Disease - surgery
Humans
Infant
Infant, Newborn
Male
Pediatrics
Retrospective Studies
Surgery
Treatment Outcome
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Summary:Abstract Background The transanal pull-through has become the standard operation for Hirschsprung's disease in many pediatric surgical centers. Over the past 8 years, we have modified our technique by leaving a short—rather than a long—rectal cuff and by doing routine intraabdominal colonic biopsies through an umbilical incision before beginning the anal dissection. The aim of this study was to determine if these modifications have changed the outcome for children undergoing this operation. Methods A retrospective cohort study of all patients who underwent transanal pull-through by a single surgeon between 1997 and 2005 was conducted. Results There were 23 children who had a long cuff (10-15 cm) and 22 who had a short cuff (
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2006.09.028