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WILLIAM K. SIEBER, MD; WILLIAM B. KIESEWETTER, MD

AMA Arch Surg. 1963;87(1):111-119.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Abdominal-perineal resection of the aganglionic rectum and colon by the technique described by Swenson¹ in 1948 is the standard operation for the definitive surgical treatment of Hirschsprung's disease. Swenson emphasized that this is a "difficult operation that must be performed with careful attention to detail to assure satisfactory results."² The operation is difficult, long, and may result in serious operative complications. The morbidity and the mortality of the procedure are apparently related to removal of the rectum and the retroperitoneal suture line.

Modifications of Swenson's procedure have been sought. Hiatt's intussusception³ procedure was designed to avoid intra-abdominal contamination. Later, State⁴ suggested radical anterior resection of the left colon and proximal transverse colon leaving the rectum largely untouched, the anastomosis being just at the peritoneal reflection of the rectum. In 1959, commenting on the Swenson procedure, Potts⁵ summed up the situation in advising that "the operation, . . . [Full Text PDF of this Article]

Author Affiliations
PITTSBURGH

From the Department of Surgery, Children's Hospital of Pittsburgh, and the School of Medicine, University of Pittsburgh.

Footnotes
Presented at the 20th Annual Meeting of the Central Surgical Association, Chicago, Feb 21-23, 1963.

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