How best to expose the entire surgical anal canal in the operative field during transanal pull-through for Hirschsprung’s disease: a crucial step that determines success

@article{Yamataka2018HowBT,
  title={How best to expose the entire surgical anal canal in the operative field during transanal pull-through for Hirschsprung’s disease: a crucial step that determines success},
  author={Atsuyuki Yamataka and Yuta Yazaki and Hiroyuki Koga and Geoffrey J. Lane and Takanori Ochi},
  journal={Pediatric Surgery International},
  year={2018},
  volume={35},
  pages={199-202}
}
PurposeDuring transanal pull-through (TAPT) for Hirschsprung’s disease (HD), exposing the entire surgical anal canal (SAC) including the squamo-columnar junction, or anorectal line (ARL) is a crucial step for minimizing problematic postoperative bowel function. We present a hint for exposing the entire SAC.MethodHistologically, the ARL represents the junction of proximal unilayer columnar colorectal mucosa with distal stratified squamous epithelium and is the proximal limit of the SAC. It is an… 
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