Salvage of Soave-Boley endorectal pull-through by conversion to a classical Soave procedure.
The endorectal pull-through procedure described by Soave and subsequently modified by Boley to include primary coloanal anastomosis is one of the most commonly performed procedures for Hirschsprung's disease. The Boley modification carries a 5-10% risk of dehiscence of the colo-anal anastomosis. This is generally treated with proximal colonic diversion and delayed revision of the pull-through. We report the use of the original Soave procedure to treat this complication.
Laberge
J M
JM
Division of Pediatric General Surgery, Montreal Children's Hospital, McGill University, Quebec, Canada.
Adolph
V R
VR
Flageole
H
H
Guttman
F M
FM
D001003:Anal Canal / Q000601:surgery; D000714:Anastomosis, Surgical; D003106:Colon / Q000601:surgery; D006627:Hirschsprung Disease / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000601:surgery