Long Term Result of Soave-Denda Procedure

  • Kazuhiko NakameEmail author
  • Shun Onishi
  • Keisuke Yano
  • Toshio Harumatsu
  • Takafumi Kawano


Hirschsprung’s disease has been one of the main disorders in pediatric surgical patients for a long time. The essence of treatment for Hirschsprung’s disease is surgery. The classic operation was an abdominoperineal pull-through in two or three stages, in which patients initially underwent a diverting colostomy or enterostomy, and a definitive operation performed later. Various procedures have been developed to perform a definitive operation for Hirschsprung’s disease including the Swenson procedure ([1]), the Rehbein procedure [2], the Duhamel procedure [3], and the Soave procedure [4].



We thank Professor Laurent Fourcade (Department of Pediatric Surgery, Centre Hospitalier Universitaire de Limoges) for many helps.


  1. 1.
    Swenson O, Bill AH Jr. Resection of rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon; an experimental study. Surgery. 1948;24:212–20.PubMedGoogle Scholar
  2. 2.
    Rehbein F. Operative therapy of Hirschsprung’s disease. Langenbecks Arch Klin Chir Ver Dtsch Z Chir. 1953;276:540–3.PubMedGoogle Scholar
  3. 3.
    Duhamel B. A new operation for the treatment of Hirschsprung’s disease. Arch Dis Child. 1960;35:38–9.CrossRefGoogle Scholar
  4. 4.
    Soave F. Hirschsprung’s disease: a new surgical technique. Arch Dis Child. 1964;39:116–24.CrossRefGoogle Scholar
  5. 5.
    Georgeson KE, Fuenfer MM, Hardin WD. Primary laparoscopic pull-through for Hirschsprung’s disease in infants and children. J Pediatr Surg. 1995;30:1017–21.CrossRefGoogle Scholar
  6. 6.
    De la Torre-Mondragon L, Ortega-Salgado JA. Transanal endorectal pull-through for Hirschsprung’s disease. J Pediatr Surg. 1998;33:1283–6.CrossRefGoogle Scholar
  7. 7.
    Saltzman DA, Telander MJ, Brennom WS, Telander RL. Transanal mucosectomy: a modification of the Soave procedure for Hirschsprung’s disease. J Pediatr Surg. 1996;31:1272–5.CrossRefGoogle Scholar
  8. 8.
    Langer JC, Minkes RK, Mazziotti MV, Skinner MA, Winthrop AL. Transanal one-stage Soave procedure for infants with Hirschsprung’s disease. J Pediatr Surg. 1999;34:148–51.CrossRefGoogle Scholar
  9. 9.
    Taguchi T, Obata S, Ieiri S. Current status of Hirschsprung’s disease: based on a nationwide survey of Japan. Pediatr Surg Int. 2017;33:497–504.CrossRefGoogle Scholar
  10. 10.
    Teitelbaum DH, Drongowski RA, Chamberlain JN, Coran AG. Long-term stooling patterns in infants undergoing primary endorectal pull-through for Hirschsprung’s disease. J Pediatr Surg. 1997;32:1049–52.CrossRefGoogle Scholar
  11. 11.
    Hollwarth ME, et al. The role of transanal endorectal pull-through in the treatment of Hirschsprung’s disease—a multicenter experience. Pediatr Surg Int. 2002;18:344–8.CrossRefGoogle Scholar
  12. 12.
    Morikawa Y, Matsufugi H, Hirobe S, Yokoyama J, Katsumata K. Motility of the anorectum after the Soave-Denda operation. Prog Pediatr Surg. 1989;24:67–76.CrossRefGoogle Scholar
  13. 13.
    Denda T, Akiyama H, Yokoyama J. Surgical treatment of Hirschsprung’s disease:a modification of Soave procedure. Geka Shinryo. 1966;8:295–301.Google Scholar
  14. 14.
    Onishi S, et al. Long-term outcome of bowel function for 110 consecutive cases of Hirschsprung’s disease: comparison of the abdominal approach with transanal approach more than 30years in a single institution—is the transanal approach truly beneficial for bowel function? J Pediatr Surg. 2016;51:2010–4.CrossRefGoogle Scholar
  15. 15.
    Mills JL, Konkin DE, Milner R, Penner JG, Langer M, Webber EM. Long-term bowel function and quality of life in children with Hirschsprung’s disease. J Pediatr Surg. 2008;43:899–905.CrossRefGoogle Scholar
  16. 16.
    Ieiri S, Nakatsuji T, Akiyoshi J, Higashi M, Hashizume M, Suita S, Taguchi T. Long-term outcomes and the quality of life of Hirschsprung disease in adolescents who have reached 18 years or older—a 47-year single-institute experience. J Pediatr Surg. 2010;45:2398–402.CrossRefGoogle Scholar
  17. 17.
    Neuvonen MI, Kyrklund K, Rintala RJ, Pakarinen MP. Bowel function and quality of life after transanal endorectal pull-through for Hirschsprung disease: controlled outcomes up to adulthood. Ann Surg. 2017;265:622–9.CrossRefGoogle Scholar
  18. 18.
    Bjørnland K, et al. A Nordic multicenter survey of long-term bowel function after transanal endorectal pull-through in 200 patients with rectosigmoid Hirschsprung disease. J Pediatr Surg. 2017;52:1458–64.CrossRefGoogle Scholar
  19. 19.
    Tang ST, et al. 10 years of experience with laparoscopic-assisted endorectal Soave pull-through procedure for Hirschsprung’s disease in China. J Laparoendosc Adv Surg Tech A. 2012;22:280–4.CrossRefGoogle Scholar
  20. 20.
    Zimmer J, Tomuschat C, Puri P. Long-term results of transanal pull-through for Hirschsprung’s disease: a meta-analysis. Pediatr Surg Int. 2016;32:743–9.CrossRefGoogle Scholar
  21. 21.
    Banerjee AK, et al. Prospective study of the proctographic and functional consequences of transanal endoscopic microsurgery. Br J Surg. 1996;83:211–3.CrossRefGoogle Scholar
  22. 22.
    Stensrud KJ, Emblem R, Bjornland K. Anal endosonography and bowel function in patients undergoing different types of endorectal pull-through procedures for Hirschsprung disease. J Pediatr Surg. 2015;50:1341–6.CrossRefGoogle Scholar
  23. 23.
    Urushihara N, et al. Outcome of laparoscopic modified Duhamel procedure with Z-shaped anastomosis for Hirschsprung’s disease. Surg Endosc. 2012;26:1325–31.CrossRefGoogle Scholar
  24. 24.
    Catto-Smith AG, Trajanovska M, Taylor RG. Long-term continence in patients with Hirschsprung’s disease and Down syndrome. J Gastroenterol Hepatol. 2006;21:748–53.CrossRefGoogle Scholar
  25. 25.
    Menezes M, Puri P. Long-term clinical outcome in patients with Hirschsprung’s disease and associated Down’s syndrome. J Pediatr Surg. 2005;40:810–2.CrossRefGoogle Scholar
  26. 26.
    Suita S, Taguchi T, Yanai K, Kamimura T, Nakao M, Ikeda K. Longterm outcomes and quality of life after Z-shaped anastomosis for Hirschsprung’s disease. J Am Coll Surg. 1998;187:577–83.CrossRefGoogle Scholar
  27. 27.
    Neuvonen M, Kyrklund K, Taskinen S, Koivusalo A, Rintala RJ, Pakarinen MP. Lower urinary tract symptoms and sexual functions after endorectal pull-through for Hirschsprung disease: controlled long-term outcomes. J Pediatr Surg. 2017;52:1296–301.CrossRefGoogle Scholar
  28. 28.
    Moore SW, Albertyn R, Cywes S. Clinical outcome and long-term quality of life after surgical correction of Hirschsprung’s disease. J Pediatr Surg. 1996;31:1496–502.CrossRefGoogle Scholar
  29. 29.
    Heij HA, de Vries X, Bremer I, Ekkelkamp S, Vos A. Long-term anorectal function after Duhamel operation for Hirschsprung’s disease. J Pediatr Surg. 1995;30:430–2.CrossRefGoogle Scholar
  30. 30.
    Bai Y, Chen H, Hao J, Huang Y, Wang W. Long-term outcome and quality of life after the Swenson procedure for Hirschsprung’s disease. J Pediatr Surg. 2002;37:639–42.CrossRefGoogle Scholar
  31. 31.
    Stensrud KJ, Emblem R, Bjornland K. Functional outcome after operation for Hirschsprung disease—transanal vs transabdominal approach. J Pediatr Surg. 2010;45:1640–4.CrossRefGoogle Scholar
  32. 32.
    Xiong X, Chen X, Wang G, Feng J. Long term quality of life in patients with Hirschsprung’s disease who underwent heart-shaped anastomosis during childhood: a twenty-year follow-up in China. J Pediatr Surg. 2015;50:2044–7.CrossRefGoogle Scholar
  33. 33.
    Witvliet MJ, Petersen N, Ekkerman E, Sleeboom C, van Heurn E, van der Steeg AFW. Transitional health care for patients with Hirschsprung disease and anorectal malformations. Tech Coloproctol. 2017;3:017–1656.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Kazuhiko Nakame
    • 1
    Email author
  • Shun Onishi
    • 1
  • Keisuke Yano
    • 1
  • Toshio Harumatsu
    • 1
  • Takafumi Kawano
    • 1
  1. 1.Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education AssemblyKagoshima UniversityKagoshimaJapan

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