An improved technique for Soave trans-anal pull-through

Aim To describe a new technique for the Soave trans-anal pull-through. Method After the mucosectomy during a Soave's procedure, a laparoscopic wound retractor was used to line the distal rectal segment to facilitate delivery of the proximal bowel through a narrow scarred pelvis. Results The technique greatly assisted delivery of the proximal bowel and helped prevent mesenteric injury. Conclusion Soave trans-anal pull-through is a difficult operation that is largely confined to specialist centres. We describe an improvement to the technique that greatly facilitates the procedure.