Transanal endorectal or transabdominal pull-through for Hirschsprung’s disease; which is better? A systematic review and meta-analysis

This systematic review and meta-analysis of 18 studies compares transanal endorectal pull-through (TEPT) versus transabdominal approaches for Hirschsprung's disease. TEPT demonstrates superior outcomes with lower rates of postoperative constipation and enterocolitis, while incontinence rates remain comparable between techniques.