Transanal Endorectal Pull-Through for Hirschsprung’s Disease in the Neonate and Early Infant

  • Kosaku Maeda


The transanal endorectal pull-through emerged in the late 1990s has drastically changed the treatment of Hirschsprung’s disease. This operation provides the advantages of a minimal invasive approach with shorter hospital stay, shorter time to full feeding, less pain, and improved cosmesis with excellent outcomes. This chapter ascertains the feasibility and safety of totally transanal pull-through in the neonatal period with organized approach to the common problem of obstructive symptoms after the transanal pull-through.


Hirschsprung’s disease Soave Transanal pull-through One-stage repair 


  1. 1.
    So HB, Schwartz DL, Becker JM, et al. Endorectal “pullthrough” without preliminary colostomy in neonates with Hirschsprung’s disease. J Pediatr Surg. 1980;15:470–1.CrossRefPubMedGoogle Scholar
  2. 2.
    So HB, Becker JM, Schwartz DL, et al. Eighteen years’ experience with neonatal Hirschsprung’s disease treated by endorectal pull-through without colostomy. J Pediatr Surg. 1998;33:673–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Georgeson KE, Cohen RD, Hebra A, et al. Primary laparoscopicassisted endorectal colon pull-through for Hirschsprung’s disease: a new gold standard. Ann Surg. 1999;229:678–83.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    de La Torre-Mondragon L, Ortega-Salgado JA. Transanal endorectal pull-through for Hirschsprung’s disease. J Pediatr Surg. 1998;33:1283–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Langer JC, Minkes RK, Mazziotti MV, et al. Transanal one-stage Soave procedure for infants with Hirschsprung disease. J Pediatr Surg. 1999;34:148–52.CrossRefPubMedGoogle Scholar
  6. 6.
    Langer JC, Seifert M, Minkes RK. One-stage Soave pull-through for Hirschsprung disease: a comparison of the transanal vs open approaches. J Pediatr Surg. 2000;35:820–2.CrossRefPubMedGoogle Scholar
  7. 7.
    De la Torre L, Ortega A. Transanal versus open endorectal pullthrough for Hirschsprung’s disease. J Pediatr Surg. 2000;35:1630–2.CrossRefPubMedGoogle Scholar
  8. 8.
    De La Torre L, Langer LC. Transanal endorectal pull-through for Hirschsprungdisease: technique, controversies, pearls, pitfalls, and an organized approach to the management of postoperative obstructive symptoms. Semin Pediatr Surg. 2010;19:96–106.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Kosaku Maeda
    • 1
  1. 1.Department of Pediatric SurgeryKobe Children’s HospitalKobeJapan

Personalised recommendations