Objectives: To provide a simple myomectomy technique for low-segment Hirschsprung disease and evaluate the efficacy of the new modification. Design: Case series of 19 patients followed up for 12 to 56 months (mean, 39.1 months). Setting: Tanta University Hospital, Tanta, Egypt. Participants: Nineteen patients aged 4 months to 10 years complaining of chronic constipation, with radiological and clinical data suggestive of low-segment Hirschsprung disease proven by histological examination. Intervention: Modified lateral anorectal myomectomy. Main Outcome Measures: Clinical and radiological improvement measured by postoperative barium enema, bowel habits, and patient's relief of symptoms. Results: Seventeen of 19 patients improved clinically and 13 showed radiological improvement 3 years postoperatively. There was poor response in 2 patients, who were subjected to further Soave procedures. Conclusion: Modified lateral anorectal myomectomy is an effective and technically simple procedure in patients suspected of having low-segment Hirschsprung disease.

doi.org/10.1001/archsurg.133.3.269, hdl.handle.net/1765/55905
Archives of Surgery
Department of Pediatric Surgery

Shehata, S. M. K., El-Banna, I., Gaber, A., El-Samongy, A., & Attia, M. (1998). Long-term evaluation of modified lateral anorectal myomectomy for low- segment Hirschsprung disease. Archives of Surgery, 133(3), 269–271. doi:10.1001/archsurg.133.3.269