Heart-shaped anastomosis for Hirschsprung’s disease: Operative technique and long-term follow-up

Figure 1 Transrectal dilator tied around ganglionic bowel at transition zone, and pulled through rectum. Bowel was everted until mucocutaneous line was exposed posteriorly, but not anteriorly.

Figure 2 Ganglionic bowel exposed by resection of most dilated bowel. The posterior wall of the aganglionic anorectum was longitudinally split in posterior wall of anorectal canal to dentate line.

Figure 3 Suturing of seromuscular coats of rectum and colon. The bowel was everted and exteriorized out of the anus.