RT Journal
A1 Shehata SK, El-Banna IA, Gaber AA, El-Samongy AM, Attia MA
T1 LOng-term evaluation of modified lateral anorectal myomectomy for low-segment hirschsprung disease
JF Archives of Surgery
JO Archives of Surgery
YR 1998
FD March 1
VO 133
IS 3
SP 269
OP 271
DO 10.1001/archsurg.133.3.269
UL http://dx.doi.org/10.1001/archsurg.133.3.269
AB 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.