By G. Heberer (auth.), Prof. Dr. med. Georg Heberer, Priv.-Doz. Dr. med. Heiko Denecke (eds.)

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3% of the cases the relaxation reflex remains missing, similar to the preoperative condition. 3% some kind of rudimentary relaxation took place simultaneously with multisegmental mass contractions. 7% of the patients deep internal sphincter relaxations could be observed, but there was no clear relationship between the distending volume of the rectal balloon and, the amplitude of the relaxations. 1 % this relationship was present, but the amplitude of the relaxations was diminished. 5% of the children showed a normal relaxation reflex.

With this technique, we have also been able to anastomose the caecum to the rectum. If there is total aganglionosis of the colon, we anastomose the rectum to the distal ileum. We have fIve such patients under treatment, all of whom are doing well. The advantages of intra-abdominal resection in congenital megacolon are obvious: no repositioning pf the patient, no position changes for the surgeon and his assistants, and the possibility of using the procedure for any form of megacolon, even re-resections of too-long resid¥al narrow segments.

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