Abstract
Transanal pull-through is currently one of the most commonly used operation to treat
Hirschsprung's disease (HD) worldwide. It has undergone some technical modifications
during the last decades and still contains variable surgical practices. As high quality
comparative studies between different surgical approaches are missing, debate over
the optimal operation for HD still continues. Transanal pull-through is associated
with multiple potential complications, which may result in permanently impaired functional
outcome, life-long morbidity, and significant social restrictions. Although some of
the surgical complications can be successfully managed by repeated surgery, the best
changes for optimal bowel function and fecal continence are lost. Surgical complications
are best treated by efficient prevention with careful adherence to established surgical
techniques and principles during the primary operation.
Keywords
mucosectomy - soave - Swenson
