Hirschsprung's Disease: A New Surgical Technique

A follow-up study on postoperative function after a transanal Soave 1-stage endorectal pull-through procedure for Hirschsprung's disease

“…Rehbein [2] described a subsequent refinement in 1953; the technique included a low anterior resection of the aganglionic intestine, which extended distally well beyond the peritoneal reflection. Duhamel [3] and Soave [4] subsequently developed the 2 techniques. The Soave technique consisted of removing the mucosa and submucosa of the rectum and pulling ganglionic intestine through the aganglionic muscular cuff.…”

Long-term follow-up of redo pull-through procedures for Hirschsprung's disease: Efficacy of the endorectal pull-through

“…Modifications by Duhamel, Soave, and others have addressed a variety of disease presentations, but also have carried with them a variety of complications. [3][4][5][6][7] Despite the complexity of the disease and its various treatments, patients with this disease tend to do well over time. A small subgroup of patients, however, does poorly with the initial pull-through and may require a second pullthrough procedure for either mechanical or functional failure of the first operation.…”

A 15-Year Experience with the One-Stage Surgery for Treatment of Hirschsprung’s Disease in Newborns, Infants, and Young Children

“…The aganglionic segment of the intestine is removed by pulling through the muscular cuff outside. The normal ganglionic colon is brought, and coloanal anastomosis is performed [7].…”