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Standard surgical approach to Hirschsprung's disease
Epublication WebSurg.com, Jul 2017;17(07). URL: http://websurg.com/doi/vd01en4979
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.