الفهرس 
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Abstract
Traditionally, treatment of Hirschsprung disease (ND) had
consisted of a colostomy at diagnosis followed by one of a variety of
pull-through procedures later on. Over the past decade, an evolution in
the surgical management of HD has occurred. The previous gold
standard of multistaged procedures with a preliminary stoma was
replaced by one stage pull-through in many centers worldwide with
results as favorable as multistaged procedures, and there may be a cost
advantage as well. More recently, Georgeson,1999 described
minimally invasive procedures for pull-through that have become
popular; these have consisted of pull-through using laparoscopic abdominal and pelvic mobilization of the rectum and colon. De la Torre-Mondragon and Ortega, 1998 first described the exclusive transanal endorectal pull-through (TERPT) technique and were followed by Albanese et al and Langer et at., 1999 . This may not include any intraabdominal or pelvic dissection, and may not require laparotomy or laparoscopy.
This study was conducted in the period from October 2005 to April 2008 at the General Surgery Department, Menoufiya University Hospital and the Pediatric Surgery Department, Children’s Hospital, University of Alabama at Birmingham in USA.