[Unusual variants of proctoplasty in Hirschsprung disease].

The results of surgical treatment of 42 children with Hirschsprung's disease are analysed. The authors describe unusual 2-stage techniques of the perineal part of Duhamel's operation, consisting in primary downward transposition of the colon excess to the perineum and its subsequent (14 days later) removal with the formation of an intestinal intrapelvic wedge anastomosis. The method was applied in 23 children. A method of small intestinal proctoplasty in reconstructive operations in unfavourable anatomical variants of the colon is also described; it was carried out successfully in 2 patients.