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Abstract
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.
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References
- Resection of rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon.Surgery. 1948; 24: 212
- Hirschsprung's disease and idiopathic megacolon.Lancet. 1969; 1: 6
- Myenteric plexus in congenital megacolon.Arch. Int. Med. 1948; 82: 75
- A new operation for the treatment of Hirschsprung's disease.Arch. Dis. Child. 1960; 35: 38
- A new surgical technique for the treatment of Hirschsprung's disease.Surgery. 1964; 56: 1007
- Partial internal sphincterectomy in the treatment of Hirschsprung's disease.Ann. Surg. 1964; 160: 540
- Follow up on 200 patients treated for Hirschsprung's disease during a ten year period.Ann. Surg. 1957; 146: 706
- Intestinal obstruction in the newborn infant.Arch. Dis. Child. 1960; 35: 40
- Clinical experience with a new operation (modified Duhamel procedure) for Hirschsprung's disease.Ann. Surg. 1962; 156: 678
- Anal ileostomy with preservation of the sphincter.Surg. Gynec. & Obst. 1947; 84: 1095
- Hirschsprung's disease: technique and results of Soave's operation.Brit. J. Surg. 1966; 53: 1023
Article info
Footnotes
☆Presented at the Eighth Annual Meeting of the Society for Surgery of the Alimentary Tract, Atlantic City, New Jersey, June 17 and 18, 1967.
Identification
Copyright
© 1968 Published by Elsevier Inc.