Journal of the Korean Association of Pediatric Surgeons  2001;7(2):130-136

Short-Term Outcomes of Transanal One-Stage Pull-Through for Hirschsprung's Disease.

Gyung Mo SON 1 ; Young Eun PARK ; Sung Who PARK ; Hae Young KIM

Affiliations

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Keywords

Transanal one-stage pull-through; Hirschsprung's disease

Country

Republic of Korea

Language

Korean

Abstract

The aim of this study was to evaluate the short-term outcomes of the transanal one-stage pull-through procedure (TOP) in Hirschsprung's disease. Eight patients aged 3 weeks to 8 months with Hirschsprung's disease underwent this procedure. A rectal mucosectomy was performed from just proximal to dentate line to the level of peritoneal reflexion, where muscle layer was incised circumferentially. Rectosigmoid was mobilized out through the anus, and full-thickness frozen biopsy was taken for confirmation of ganglionic cells. After the rectal muscular cuff was divided longitudinally in the posterior aspect, aganglionic bowel was removed and ganglionic colon was anastomozed to the anus. The mean operating time was 161 minutes, and the mean hospital stay after operation was 3.8 days. Five patients had three to four bowel movement per day without other therapy at mean postoperative 39.2 days. Although long-term follow-up will be required, the TOP might be the new alternative surgical procedure for Hirschsprung's disease.