title: Long-term evaluation of modified lateral anorectal myomectomy for low-segment Hirschsprung disease.
abstract: OBJECTIVE
  To provide a simple myomectomy technique for low-segment Hirschsprung disease and evaluate the efficacy of the new modification.
  
  
  METHODS
  Case series of 19 patients followed up for 12 to 56 months (mean, 39.1 months).
  
  
  METHODS
  Tanta University Hospital, Tanta, Egypt.
  
  
  METHODS
  Nineteen patients aged 4 months to 10 years complaining of chronic constipation, with radiological and clinical data suggestive of low-segment Hirschsprung disease proven by histological examination.
  
  
  METHODS
  Modified lateral anorectal myomectomy.
  
  
  METHODS
  Clinical and radiological improvement measured by postoperative barium enema, bowel habits, and patient's relief of symptoms.
  
  
  RESULTS
  Seventeen of 19 patients improved clinically and 13 showed radiological improvement 3 years postoperatively. There was poor response in 2 patients, who were subjected to further Soave procedures.
  
  
  CONCLUSIONS
  Modified lateral anorectal myomectomy is an effective and technically simple procedure in patients suspected of having low-segment Hirschsprung disease.
authors.affiliation: Department of Pediatric Surgery, Sophia Children's Hospital, Rotterdam, The Netherlands. illsley@CHIS.AZR.NL
authors.forename: S M
authors.initials: SM
authors.lastname: Shehata
authors.forename: I A
authors.initials: IA
authors.lastname: El-Banna
authors.forename: A A
authors.initials: AA
authors.lastname: Gaber
authors.forename: A M
authors.initials: AM
authors.lastname: El-Samongy
authors.forename: M A
authors.initials: MA
authors.lastname: Attia
mesh_terms: D001003:Anal Canal / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D012007:Rectum / Q000601:surgery*; D016896:Treatment Outcome