What Is the Surgical Treatment of Hirschsprung's Disease?

Hirschsprung's disease (HSCR) is a congenital condition of intestinal motility that requires definitive surgical correction. This protocol describes the first-line operative approach used once the patient is ready for elective intervention.

Clinical Situation

The protocol applies when the patient is clinically stable, growing adequately, and bowel decompression has been achieved — the standard criteria for proceeding to elective pull-through surgery.

Treatment Approach

Definitive management centres on a pull-through surgical procedure, performed on an elective basis. The specific operative technique and perioperative preparation — including the timing and antimicrobial strategy — are detailed in the full protocol.

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References

DOI: 10.1186/s13023-020-01362-3

Endorectal pull-through (ERP) and Duhamel pull-through are the most common definitive operations for HSCR
The pull-through operation should be performed when the patient is stable and growing well, and the bowel has been sufficiently decompressed
Elective pull-through within 2–3 months after diagnosis is usual
At pull-through surgery, one dose of broad-spectrum intravenous antibiotics should be given preoperatively

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