J Korean Assoc Pediatr Surg.  2001 Dec;7(2):130-136.

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

• Son GM
• Kim HY

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.

Keyword

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

MeSH Terms

Anal Canal
Biopsy
Colon
Follow-Up Studies
Ganglion Cysts
Hirschsprung Disease*
Humans
Length of Stay