[Modified Rehbein surgical procedure using a surgical staple--progress in the treatment of Hirschsprung disease in children].
The particular advantage of using the intraluminal stapler in Rehbein's operation for Hirschsprung's disease is that we are able to achieve very low and safe anastomoses 2-3 cm above the anal verge. Use of the intraluminal stapler has successfully overcome the difficulties of a very low handsewn anastomoses in children. In this way the aganglionosic segment can be resected completely. In 16 infants we can demonstrate the safety and reliability of colorectal anastomoses using the smallest intraluminal circular stapler, 21 mm in diameter. Endoscopic and manometric investigations demonstrate no stenosis or stricture.
Kinderchirurgische Universitätsklinik, Münster.
H
H
Meier
G H
GH
Willital
D000714:Anastomosis, Surgical; D002648:Child; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D013528:Surgical Staplers
Modifiziertes Rehbeinsches Operationsverfahren mit Hilfe der Maschinennaht--ein Fortschritt in der Behandlung des Morbus Hirschsprung bei Kindern.