In treating Hirschsprung Disease in pediatric patients, what surgical procedure is typically performed?

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The surgical procedure typically performed in treating Hirschsprung Disease in pediatric patients is a resection and pull-through of the affected segment of the colon. This condition, characterized by the absence of ganglion cells in the nerve plexus of the colon, results in a lack of peristalsis and subsequent obstruction. As a corrective measure, the involved segment of the colon (where ganglion cells are absent) is surgically removed, and the functional portion of the bowel is then brought down and anastomosed to the rectum in a procedure called a pull-through.

This approach not only resolves the obstruction but also allows for restoration of normal bowel function and continuity of the gastrointestinal tract, which is crucial for the child's development and quality of life.

Other procedures, such as a colostomy, might be employed in some cases as temporary measures before definitive surgery or in cases of severe complications, but they do not address the underlying issue of Hirschsprung Disease directly. Intestinal resection could pertain to various other conditions but is not the standard surgical intervention for Hirschsprung. An appendectomy is unrelated to this condition and does not have a role in its treatment.

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