Abstract
Objective To review the authors' experience with reoperation for Hirschsprung's disease (HD) especially focusing on surgical technique and long-term outcome. Methods The clinical data of 19 patients underwent reoperation for HD were retrospectively reviewed. The indications for reoperation were recurrent constipation due to severe anastomotic stricture in 5 patients, residual aganglionic segments in 5 patients, fistula formation including rectocutaneous fistula in 6 patients, rectovaginal fistula in 1 patient, complicated fistula in 2 patients. The surgical procedures for the reoperation were posterior sagittal approach combined with laparotomy on 7 patients, Soave procedure on 7 patients, Duhamel procedure on 1 patient, Rehbein procedure on 3 patients, repairing of the rectovaginal fistula via laparotomy on 1 patient. Indications and details of the initial and the reoperation, and the functional results were retrospectively analyzed. Results After reoperation, 16 had normal or almost normal defecation functions, 2 have soiling, 1 developed rectosacral fistula due to improper anorectal dilatation. Conclusions Reoperation for HD is feasible and safe under thoughtful preoperative planning and preparation. Key words: Hirschsprung's disease; Reoperation
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