Hirschsprung’s disease

Since the first description of Hirschsprung’s disease in 1889, various surgical techniques have been used to treat it. In 1995, Georgeson et al. described a laparoscopic approach for colonic biopsies and mobilization, followed by transanal endorectal dissection of the rectum and colo-anal anastomosis. Although the totally transanal endorectal pull-through has gained a rapid acceptance, more complicated and extensive disease segments require laparoscopic-assisted intra-abdominal colonic mobilization. In this video, we present an endorectal colonic pull-through using a Georgeson technique for rectosigmoid Hirschsprung’s disease.

In this key lecture, Dr. Haddad presents the pull-through technique for the minimally invasive approach to Hirschsprung's disease.

Trends in surgery for Hirschsprung’s disease have been towards earlier repair and fewer surgical stages. A one-stage pull-through for Hirschsprung’s disease prevents the additional anesthesia, surgery, and complications of a colostomy. A laparoscopic-assisted approach diminishes surgical trauma to the peritoneal cavity. In this key lecture, Dr. Yagmurlu presents this technique.

In this lecture, Dr. Lima briefly describes the main principles and recommendations for the treatment of Hirschsprung's disease with emphasis on the correct diagnosis and pathology of the disease. He presents team position, technical details of incision, dissection criterion of technique and his own experience with case series.

In this key lecture extracted from the IRCAD advanced course "laparoscopy in newborns, infants and children" (March 14-16, 2019), Dr. Guelfand demonstrates the strategy used to manage Hirschsprung’s disease in pediatric surgery.