Modified traction suture holder using an Ilizarov external fixator ring in performing a transanal endorectal pullthrough procedure

This study demonstrates the use of an innovative traction suture holder in performing transanal endorectal pullthrough procedure for Hirschsprung's disease. The device was constructed by utilizing the Ilizarov external fixator ring used by orthopedic surgeons. Used in six patients, the appliance was able to provide adequate exposure of the anal mucosa during the performance of the procedure. Operative time was shorter as compared to that of previous surgeries done without using the appliance.