Related Experiment Video
Updated: Aug 18, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Insights
This study introduces a two-stage surgical approach for Hirschsprung
Area of Science:
- Pediatric Surgery
- Colorectal Surgery
- Gastroenterology
Context:
- Hirschsprung's disease and megarectum present complex surgical challenges in children.
- Existing surgical techniques for colorectal anastomosis may have limitations.
Purpose:
- To describe and evaluate a modified two-stage surgical technique for colorectal anastomosis in pediatric patients with Hirschsprung's disease and megarectum.
Summary:
- A novel two-stage colorectal anastomosis technique involves low rectal ampulla resection and muscular wall stitching to the colon in the first stage.
- The second stage, performed two weeks later, entails removing excess intestine via perineal approach.
- This modified procedure was successfully performed on 23 pediatric patients (8 months to 13 years) with no immediate or long-term complications.
Impact:
- This surgical variant offers a potentially safer and effective alternative for treating Hirschsprung's disease and megarectum in children.
- The described technique may reduce postoperative complications and improve patient outcomes in pediatric colorectal surgery.
Abstract:
A variant of two-stage formation of a colorectal anastomosis in children with Hirschprung's disease and megarectum is suggested. Low resection of the rectal ampulla and stitching of its muscular wall with the downwardly displaced area of the colon is conducted in the first stage. The second stage is performed 2 weeks later and consists in removal of the excess part of the intestine from the direction of the perineum. The operation was carried out on 23 children aged from 8 months to 13 years. No complications were encountered in the immediate postoperative period and in the long-term period.
