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Rectal Myectomy in Hirschsprung Disease: A Decade of Experience

Rectal Myectomy in Hirschsprung Disease: A Decade of Experience Abstract Short-segment aganglionosis is becoming more frequently recognized in view of more sophisticated diagnostic techniques, as well as the greater clinical awareness of the entity. A series of 37 patients who underwent rectal myectomy during a ten-year period was reviewed. Selected patients with short-segment aganglionosls, proved by muscle biopsy, responded well to a single transanal operation that required an overnight hospital stay. The complications were minimal, and the cure or marked Improvement has persisted for as long as 11 years. When major surgery of an abdominoperineal pull-through type was required after the myectomy (four patients), no technical difficulties were encountered. Within the limits of its applicability, rectal myectomy has a definite place in the treatment of short-segment Hirschsprung disease. References 1. Robertson HE, Kernohan JW: The myenteric plexus in congenital megacolon . Proc Staff Meet Mayo Clin 13:123-125, 1938. 2. Aldridge RT, Campbell PE: Ganglion cell distribution in the normal rectum and anal canal: A basis for the diagnosis of Hirschsprung's disease by anorectal biopsy . J Pediatr Surg 3:475-490, 1968.Crossref 3. Weinberg AG: The anorectal myenteric plexus: Its relation to hypoganglionosis of the colon . Am J Clin Pathol 54:637-642, 1970. 4. Lynn HB: Rectal myectomy for aganglionic megacolon . Mayo Clin Proc 41:289-295, 1966. 5. Thomas CG Jr, Bream CA, DeConnick P: Posterior sphincterotomy and rectal myotomy in the management of Hirschsprung's disease . Ann Surg 171:796-809, 1970.Crossref 6. Alexander JL, Aston SJ: A technique for posterior myectomy and internal sphincterotomy in short-segment Hirschsprung's disease . J Pediatr Surg 9:169-170, 1974.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Rectal Myectomy in Hirschsprung Disease: A Decade of Experience

Archives of Surgery , Volume 110 (8) – Aug 1, 1975

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360140135026
Publisher site
See Article on Publisher Site

Abstract

Abstract Short-segment aganglionosis is becoming more frequently recognized in view of more sophisticated diagnostic techniques, as well as the greater clinical awareness of the entity. A series of 37 patients who underwent rectal myectomy during a ten-year period was reviewed. Selected patients with short-segment aganglionosls, proved by muscle biopsy, responded well to a single transanal operation that required an overnight hospital stay. The complications were minimal, and the cure or marked Improvement has persisted for as long as 11 years. When major surgery of an abdominoperineal pull-through type was required after the myectomy (four patients), no technical difficulties were encountered. Within the limits of its applicability, rectal myectomy has a definite place in the treatment of short-segment Hirschsprung disease. References 1. Robertson HE, Kernohan JW: The myenteric plexus in congenital megacolon . Proc Staff Meet Mayo Clin 13:123-125, 1938. 2. Aldridge RT, Campbell PE: Ganglion cell distribution in the normal rectum and anal canal: A basis for the diagnosis of Hirschsprung's disease by anorectal biopsy . J Pediatr Surg 3:475-490, 1968.Crossref 3. Weinberg AG: The anorectal myenteric plexus: Its relation to hypoganglionosis of the colon . Am J Clin Pathol 54:637-642, 1970. 4. Lynn HB: Rectal myectomy for aganglionic megacolon . Mayo Clin Proc 41:289-295, 1966. 5. Thomas CG Jr, Bream CA, DeConnick P: Posterior sphincterotomy and rectal myotomy in the management of Hirschsprung's disease . Ann Surg 171:796-809, 1970.Crossref 6. Alexander JL, Aston SJ: A technique for posterior myectomy and internal sphincterotomy in short-segment Hirschsprung's disease . J Pediatr Surg 9:169-170, 1974.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1975

References