Management of Hirschsprung's disease with the swenson procedure

Forty-one patients with Hirschsprung's disease treated with the Swenson pull-through procedure are reported. There was no operative mortality; one death occurred 10 mo postoperatively from enterocolitis. There are no rectal strictures or instances of urinary dysfunction. Of the 24 patients old enough to evaluate, rectal function is excellent in 14, good in five, and fair in four. The one poor result occurred in a child with Down's syndrome.