Transanal one-stage endorectal technique for Hirschprung's disease--a preliminary report of 24 cases from a single institution.
Numerous surgical techniques for Hirschprung's disease have been developed and modified, being associated with extensive surgical procedures involving laparotomy, resection of affected segment of colon and descensus of the functional bowel to the anus. Conventional surgery was followed by complications, although the incidence of early and late postoperative complications has significantly decreased. Transanal mucosectomy was practiced as a part of conventional and laparoscopic assisted pull through procedures. The latest promising achievement is entirely transanal pull-through procedure, described by De la Tore-Mondragon and Ortega-Salgado: entirely transanal endorectal pull-through, thus avoiding both laparotomy and laparoscopy. Due to minimal invasive surgery it offers excellent results. During a five year period (2003-2008), 24 patients were operated with this technique. The recovery was uneventful in all patients. This study adds valuable information of meticulous details of the new, still developing technique with the emphasis on controversies about surgical complications reported in multicentric studies.