Rectal atresia and stenosis are rare and peculiar anorectal malformati
ons for which many and varied surgical procedures have been described,
ranging from simple perforation of the atresia to extensive sacro-abd
omino-perineal pull-through operations. The results of these operation
s have been generally unsatisfactory, chronic constipation being a com
mon postoperative feature. In the authors' experience, the Duhamel pul
l-through is the operation of choice for this problem. Copyright (C) 1
995 by W.B. Saunders Company.