Rectoplasty with a Posterior Triangular Colonic Flap

  • Masaki NioEmail author


In the rectoplasty with a posterior triangular colonic flap procedure, the anal canal is circumferentially preserved except for at the 6 o’clock position, and the internal sphincter muscle is completely and vertically divided at the 6 o’clock position of the anal canal. This procedure is likely to lead to a high level of patient satisfaction in terms of bowel function if the surgery and postoperative management are performed adequately.


Hirschsprung’s disease Soave procedure Duhamel procedure Posterior triangular colonic flap Transanal endorectal pull-through Rectoanal myotomy 


  1. 1.
    Swenson O, Bill AH. Resection of rectum and rectosigmoid with preservation of the sphincter for benign spastic lesions producing megacolon. Surgery. 1948;24:212–20.PubMedGoogle Scholar
  2. 2.
    Soave F. A new surgical technique for treatment of Hirschsprung’s disease. Surgery. 1964;56:1007–14.PubMedGoogle Scholar
  3. 3.
    Duhamel B. Une nouvelle operation pan le megacolon congenital l’abaisement retrorectal et transanal du colon of san application possible au traitement de quelques autres malformation. Presse Med. 1956;64:2249–50.PubMedGoogle Scholar
  4. 4.
    Kasai M, Suzuki H, Ohi R, et al. Rectoplasty with posterior triangular colonic flap-a radical operation for Hirschsprung’s disease. J Pediatr Surg. 1977;12:207–11.CrossRefPubMedGoogle Scholar
  5. 5.
    Kasai M, Suzuki H, Watanabe K. Rectal myotomy with colectomy: a new radical operation for Hirschsprung’s disease. J Pediatr Surg. 1971;6:36–41.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Pediatric SurgeryTohoku University Graduate School of MedicineSendaiJapan

Personalised recommendations