MODIFIED OPERATION FOR TREATMENT OF HIRSCHSPRUNGS DISEASE

A modified operation for the treatment of congenital megacolon is described. The procedure consists of resection of the aganglionic part of the colon with a perineal anastomosis of the proximal colon to the anus. An important feature of the procedure is the minimal dissection performed in the pelvis, with only the mucosa being dissected from the rectum. A tube of muscularis is left intact through which the colon is drawn for the perineal anastomosis. The advantages of this simplified technic are manifested by the superior results in defecation, rectal continence, and genitourinary function. © 1968.