Surgical Repair

Our highly skilled and specialized surgeons perform several minimally invasive procedures, including:

  • Posterior Sagittal Anorectoplasty (PSARP)
  • Transanal Pull Through

    • The goal of surgery is to remove the entire portion of diseased intestine (the bowel that does not have normal nerve cells). The healthy intestine is then connected to the anus to allow to body to pass stool normally. At Texas Children’s Hospital, minimally invasive techniques are used. Frequently, laparoscopic methods are used, allowing the surgeon to reach the bowel through 3-4 tiny incisions. Occasionally the entire surgery is done through the child’s anus. With either method, pathologists examine the intestine under the microscope at the time of surgery to help make sure all of the bowel that is missing normal nerve cells is removed.
    • What to expect after surgery? Most children stay in the hospital 3-7 days after surgery. Children are given IV fluids until they are drinking enough to maintain hydration. Special care is given to the skin around the anus after surgery because children are likely to have several stools a day, which can cause skin irritation. This improves over time, and we will tell you which creams to use to help protect the skin.
  • Cecostomy
  • Appendicostomy
  • Ileostomy
  • Colostomy