Reoperative surgery for Hirschsprung's disease.
Most patients who undergo a pull-through procedure for Hirschsprung's disease typically do well. A small number of patients have persistent stooling problems, often manifesting with either constipation or recurrent enterocolitis. A group of these patients will not respond to conservative medical management and may need to undergo another operative procedure. Reoperative surgery for Hirschsprung's disease typically falls into 2 categories, those who require a myectomy and those who need a redo pull-through. This article reviews the workup, indications, and techniques for these procedures and discusses previously published, as well as the authors' outcome, with these 2 procedures.
Teitelbaum
Daniel H
DH
Section of Pediatric Surgery F3970, Department of Surgery, C.S. Mott Children's Hospital, Box 0245, University of Michigan, Ann Arbor, MI 48109, USA.
Coran
Arnold G
AG
D001003:Anal Canal / Q000601:surgery; D002648:Child; D003248:Constipation / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D004760:Enterocolitis / Q000209:etiology; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D009130:Muscle, Smooth / Q000601:surgery; D010808:Physical Examination; D012007:Rectum / Q000601:surgery; D012086:Reoperation