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Transanal endorectal pull-through for Hirschsprung's disease

L De la Torre-Mondragón1, J A Ortega-Salgado

  • 1Department of Surgery, Instituto Nacional de Pediatría, Mexico City, Mexico.

Journal of Pediatric Surgery
|August 29, 1998
PubMed
Summary

A novel transanal endorectal pull-through technique for Hirschsprung's disease requires no laparotomy or laparoscopy. This minimally invasive approach resulted in normal bowel movements for all five pediatric patients in the study.

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Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Surgical innovation

Background:

  • Hirschsprung's disease is a congenital condition affecting the large intestine.
  • Current surgical treatments often involve laparotomy or laparoscopy.

Purpose of the Study:

  • To present a new endorectal pull-through technique using a transanal approach.
  • To evaluate the feasibility and outcomes of this minimally invasive technique.

Main Methods:

  • The technique involves transanal mucosectomy, colectomy, and pull-through.
  • No abdominal incision (laparotomy or laparoscopy) is required.
  • Five patients with Hirschsprung's disease were treated with this method.

Main Results:

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  • All five patients underwent the transanal procedure successfully.
  • Postoperative follow-up ranged from 6 to 15 months.
  • All patients achieved normal bowel movements post-surgery.

    • Conclusions:

    • The transanal endorectal pull-through technique is a viable and effective minimally invasive option for Hirschsprung's disease.
    • This approach avoids the need for laparotomy or laparoscopy, potentially reducing patient recovery time.
    • The technique demonstrated excellent functional outcomes with normal bowel function in the short-term follow-up.