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Open Proctocolectomy for Hirschsprung's Disease

Mudassir Shah Akhter, MD1; Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES2
1 Oregon Health and Science University
2 Philippine Children's Medical Center

1. Introduction

2. Incision and Access to the Abdominal Cavity

3. Bowel Inspection

  1. Biopsy

4. Proctocolectomy

  1. Division of Mesenteric Vessels
  2. Rectal Dissection (Part 1)
  3. Biopsy Result
  4. Extension of the Proximal Point of Bowel Transection
  5. Rectal Dissection (Part 2)
  6. Repair of a Colonic Perforation
  7. Rectal Dissection (Part 3)
  8. Perineal Dissection
  9. Coloanal Anastomosis

5. Closure