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  • Title: Colorectal resection and anal anastomosis with an intraluminal stapler in Hirschsprung's disease.
    Author: Hedlund H.
    Journal: Pediatr Surg Int; 1997 Feb; 12(2-3):142-4. PubMed ID: 9156842.
    Abstract:
    Twenty patients aged 5 months - 4 years (mean 14 months) with Hirschsprung's disease were operated upon. In all cases a pull-through resection and stapled circular coloanal anastomosis was performed, in 11 with a single-stapling technique and in 9 with double-stapling. Isopaque rectography 4 - 10 days postoperatively showed an intact anastomosis in all 20 patients, i. e., there were no clinical or subclinical leaks. On palpation 4 - 6 weeks postoperatively, there were signs of stenosis in 4 patients. However, no. 9 - 11 Hegar dilators passed easily and there was no residual stenosis at follow-up 3 months after surgery. The technique can be recommended in children over 6 months of age.
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