One stage pull through for hirschsprung’s disease

Abstract EN

In order to compare one-stage versus multiple-stage pull-through for Hirschsprung disease (HD) and comment on transanalpull-through without laparotomy, we reviewed 35 patients operated on for HD in the last six years.

Ages ranged from 1 week to 14 years with 16 patients presenting neonatally.

Sixteen patients had multiple-stage and 19 single-stage pull-through.

Twenty-one patients had the Swenson procedure, five the Duhamel, seven the Soave pull-through and two the Lister Martin procedure for total colonic aganglionosis.

We conclude that the one stage pull-through is effec¬tive, saves the patient multiple operations, recurring costs and lung hospital stays, and also saves both the patient and family the psychological trauma of colostomy.