Abstract
Thirteen patients, 10 with classical Hirschsprung's disease and 3 with total colonic aganglionosis, were operated upon by anterior resection (11 cases) or pull-through (2 cases) and the anastomosis was constructed with a circular stapler. The age at operation ranged from 9 months to 17 years (median 17 months). A very low resection was obtained, with the level of anastomosis less than 2 cm from the dentate line. The anastomosis was covered by a temporary enterostomy in all but 2 patients. One dorsal anastomotic leak was demonstrated at radiological follow-up. No further anastomotic complications were observed, and all enterostomies were closed within 10 weeks post-resection. The use of a circular stapler is recommended as a modification of the Rehbein operation or the Swenson pull-through.
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References
Coran AG (1988) Letter to the editor. Pediatr Surg Int 3: 208
Fasth S, Hedlund H, Svaninger G, Hultén L (1982) Autosuture of low colorectal anastomoses. Acta Chir Scand 148: 535–539
Goligher JC (1979) Use of circular stapler device for the construction of the anastomosis in abdomino-transanal resection. Br J Surg 66: 501–503
Goligher JC (1984) Surgery of the anus, rectum and colon, 5th edn. Balliere Tindall & Cox, London, pp 662–684
Goligher JC, Graham NG, de Dombal FT (1970) Anastomotic dehiscence after anterior resection of rectum and sigmoid. Br J Surg 57: 109–118
Josteen KFM, Festen C, v d Staakk FHJM (1988) Is Rehbein's method an obsolete method of treating Hirschsprung's disease? Pediatr Surg Int 3: 204–207
Nixon HH (1984) Megacolon and other anomalies of the colon and rectum in children. In: Goligher JC (ed) Surgery of the anus, rectum and colon, 5th edn. Balliere, Tindall & Cox, London, pp 305–334
Rehbein F, Booss D (1982) In: Holschneider A (ed) Hirschsprung's disease. Hippocrates, New York, pp 195–198
Saing H, Lee JMH, Tam PKH (1986) The use of the disposable intraluminal stapler in the definitive management of Hirschsprung's disease. Dis Colon Rectum 29: 211–213
Sillén U, Hagberg S, Hedlund H, Rubenson A, Sörensen SE (1987) Early complications and long time results of colorectal resection ad modum Rehbein for Hirschsprung's disease. Z Kinderchir 42: 331–334
Steichen FM, Spigland NA, Nunez D (1987) The modified Duhamel operation for Hirschsprung's disease performed entirely with mechanical sutures. J Pediatr Surg 22: 436–438
Swenson O, Sherman JO, Fisher JH, Cohen E (1975) The treatment and postoperative complications of congenital megacolon: a 25 years follow up. Ann Surg 182: 266–273
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Hedlund, H., Hagberg, S., Rubenson, A. et al. Use of a circular stapler for the surgical treatment of Hirschsprung's disease. Pediatr Surg Int 4, 291–294 (1989). https://doi.org/10.1007/BF00177504
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DOI: https://doi.org/10.1007/BF00177504