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.