Volume 2000, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426


In order to compare one-stage versus multiple-stage pull-through for Hirschsprung disease (HD) and comment on transanal pull-through without laparotomy, we reviewed 35 patients operated on for HD in the last six years. Ages ranged from 1 week to 14 years with 16 patients presenting neonatally. Sixteen patients had multiple-stage and 19 single-stage pull-through. Twenty-one patients had the Swenson procedure, five the Duhamel, seven the Soave pull-through and two the Lister Martin procedure for total colonic aganglionosis.

We conclude that the one stage pull-through is effec-tive, saves the patient multiple operations, recurring costs and long hospital stays, and also saves both the patient and family the psychological trauma of colostomy.


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  • Article Type: Research Article
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