Soave’s Procedure

  • Motoi MukaiEmail author
  • Koji Yamada
  • Masakazu Murakami
  • Ryuta Masuya


Soave described his new technique as endorectal pull-through for Hirschsprung’s disease (HD) in 1963 [1, 2]. Endorectcal pull-through is one of three major procedures of definitive operation for HD. The remaining two are Duhamel procedure and Swenson procedure. Endorectcal pull-through consisted in removing the mucosa and submucosa of the rectum and pulling ganglionic intestine through the aganglionic muscular cuff. He introduced a basic concept of this operation from that of imperforated anus. In 1955 Romualdi reported on the treatment of high imperforate anus by the removal of the mucous membrane of the rectum down to the fistula and pull-through of the malformed rectal canal deprived of its epithelium [3]. Soave thought that Romualdi’s technique could be applied in the treatment of HD.


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Motoi Mukai
    • 1
    Email author
  • Koji Yamada
    • 1
  • Masakazu Murakami
    • 1
  • Ryuta Masuya
    • 1
  1. 1.Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education AssemblyKagoshima UniversityKagoshimaJapan

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