The operative treatment in Hirschsprung's disease is only undertaken when child -
• A diagnosis of Hirschsprung’s disease requires surgery in all cases.
• The classic surgical approach consisted of a multiple-stage procedure.
• This included a colostomy in the newborn period, followed by a definitive pull-through operation after the child weighed > 10 kg.
Is 2 years of age
Is at least 8 kg in weight and thriving
Has no distension of abdomen
Has failed to respond to conservative treatment