Current experience with Boley's endorectal pullthrough

ABSTRACT

During the past eight years, thirty one patients with Hirshsprung's disease have been treated in our institution. Seventeen cases within this group have undergone a Boley's modification endorectal pull-through. There are 11 males and 6 females in the series. Fifteen patients with aganglionosis involve the rectosigmoid colon, one involves the rectum and one extends to splenic flexure. None of the patients have urinary tract anomalies. There has been no post operative deaths. Two minor complications have occured. The average follow up period is 9.6 months. The functional results post-operatively have been excellent. The thirteen patients over the age of 3 years are completely toilet trained. The remaining patients are too young to be toilet-trained, but they are continent in the sense that they do not soil between bowel movements