Objective To explore clinical effects and operative experience of transanal pull-through procedure for Hirschsprung's disease (HD).Methods The clinical data of 126 children aged from 13 days to 14 years with HD were reviewed.There were 30 cases of short-segment type,85 of common type,and 11 of long-segment type.A total of 95 cases was operated with modified Soave and the other 31 cases were operated with modified Swenson.Results Except two-stage resection in 7(5.6％) cases who already underwent transanal Soave procedure early,one-stage transanal pull-through procedure was performed in the other cases.Laparotomy assisted operation was used for 5 cases and laparoscope assisted operation for 12 cases.The complications were occurred in 35 (27.8％) cases post-operation,including 15 perianatitis,9 enterocolitis,5 anastomotic stenosis,2 soiling,and 4 reoperation.The statistical analysis indicated no difference between two procedures and postoperative complications could be noted between different types (P ＞0.05).A total of 103 patients were followed up from 1 to 10 (mean 2) years.Of all patients,96 (93.2％) were cured,5 (4.9％) symptoms were improved and 2(1.9％) were failed.There were no significant differences in two procedure and the excellent rate of defecation function(P ＞ 0.05).Conclusions Two transanal procedures for HD both had a good efficacy and similar complications.By comparison,transanal Swenson procedure was simpler than Soave procedure,and did not need to enlarge anus post-operation as well.

Objective To explore the operative indication,procedure and postoperative complication of infantile intussusception.Methods Clinical data of 316 infants suffering intussusception in the past 38 years(1971-2008)were reviewed.There were 186 male,130 female.One hundred and eishty-six patients (58.9%,186/316) were younger than 6 months,and 78.2%(247/316)had suffered for more than 3 days.The proportion of abdominal intermittent pain and vomiting was 96.8%(306/316)and 87.7%(277/316),respectively.IIeum-colon ascendens was 35.4%(112/316)and ileum-ileum-colon ascendens was 37.3%(118/316).The proportion of intestinal necrosis was 36.7%(116/316).Two hundred patients (63.3%,200/316) were operated with simplified reposition and 36.7%(116/316)Was operated with intestinal resection.Results One patient with appendiceal abscess was misdiagnosed as intussucseption.Three cases of intussusception had repositioned automatically during the operation.Eight cases underwent additional operation because of postoperative complication.Three hundred and seven cases were cured, 2 cases discharged voluntarily.Seven cases died.Conclusions Currently most of acute intussusception may be cured with non-operation.Operative indication should be performed strictly.Operative procedure should be chosen on the pathological changes and the status of health.The comphcation could be reduced by intensive perioperation care.