Sphincter Reconstruction for Patients with Soiling after a Pull-Through for Hirschsprung Disease

Topic overview

Sphincter reconstruction technique is described in detail for patients with soiling due to an iatrogenic overstretching of the anal sphincters at the time of the initial pull-through procedure for Hirschsprung disease. Until this technique, there was no optimal management for these patients. They were treated with enemas (rectal or antegrade) with some success; however they could not develop voluntary bowel movements. With the sphincter reconstruction technique, these patients can gain voluntary bowel control.

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