Definitive Operation Using Two GIA Autosutures for Hirschsprung's Disease

Kum Ja Choi, Won Gon Kim

Corresponding author: Won Gon Kim. Department of Surgery, College of Medicine, Ewha Womans University, Korea.

Copyright ⓒ 1983. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

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.