Common pediatric surgery problems.pdf
Common pediatric surgery problems.pdf
Common pediatric surgery problems.pdf
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Hirschsprung’s Disease<br />
OR requires biopsies to confirm ganglion cells in<br />
normal bowel<br />
“Pull-through” operations<br />
Swenson: complete excision, anastamosis to proximal<br />
anal canal at columns of Morgagni<br />
Soave: endorectal mucosal excision, pull through rectal<br />
muscular sleeve<br />
Duhamel: retains portion of aganglionic bowel<br />
anteriorly using GIA stapler