Definitive Operation Using Two GIA Autosutures for Hirschsprung's Disease

Hirschsprung's disease is a congenital abnormality characterized by chronic constipation secondary to the absence of myenteric parasympathetic nerve ganglia in the distal large intestine.

The definitive operative treatment for Hirschsprung's disease is divided into three main classes-Swenson abdominal pull-through operation, Duhamel retrorectal pull-through operation, and Soave endo-rectal pull-through operation.

But each of these technics has one or more frequent complications or operative difficultes. Recently, the gastrointestinal stapling device is employed to cut away the common wall between the rectum and pulled-through colon of the Duhamel procedure for Hirschsprung's disease.

The authors performed three Duhamel procedures for Hirschsprungs disease using two GIA Autosutures at Ewha Womans University Hospital during recent several months, and are presenting with review of the world literatures.