Related Experiment Video
Updated: Jun 18, 2026
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Hirschsprung's disease management: from multi staged operation to single staged transanal pull-through
1Department of Pediatric Surgery, First affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, PR China.
Nepal Medical College Journal : NMCJ
|December 9, 2009
Summary
Hirschsprung's disease (HD) treatment has evolved from multi-stage colostomy to less invasive single-stage transanal procedures. The total transanal endorectal pull-through is now the preferred surgical approach for HD.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical History
Background:
- Hirschsprung's disease (HD) is a prevalent congenital colorectum disorder.
- Historical treatments involved multi-stage surgeries including colostomy.
- Surgical techniques have advanced significantly over the past century.
Purpose of the Study:
- To review the evolution of surgical treatments for Hirschsprung's disease.
- To highlight the shift towards minimally invasive procedures.
- To emphasize the current preferred surgical technique for HD.
Main Methods:
- Historical review of surgical procedures for Hirschsprung's disease.
- Analysis of treatment evolution from staged to single-stage operations.
- Focus on the development and adoption of transanal techniques.
Main Results:
- Early treatments for HD were extensive, involving staged colostomy and pull-through procedures.
- Various surgical techniques (Swenson, Duhamel, Rehbein, Soave) were developed.
- Modern approaches favor single-stage, transanal procedures, with total transanal endorectal pull-through being most popular since 1998.
Conclusions:
- Surgical management of Hirschsprung's disease has become less invasive.
- The total transanal endorectal pull-through technique represents a significant advancement in HD treatment.
- Minimally invasive transanal approaches are now the standard of care for Hirschsprung's disease.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...