1-year old patient with Hirschsprung's disease and right lower quadrant colostomy. 1 hirP3001 Pre-op photo with overlaid sketch of colon. Stoma sewn shut with 3-0 nylon purse string suture. 3 hirP3004 Digital rectal exam.
Circumferential prep allows patient to be rotated during procedure.
Surgeons in position for laparoscopic abdominal portion of procedure. Laparoscopic view from right upper quadrant camera port shows end colostomy and rectal pouch. Colostomy dissected free from abdominal wall connections. 10 hirG3012 Lateral attachments of left colon divided. Colon mobilized sufficiently to reach deep inguinal ring without tension.