Follow us On YouTube Follow us On FaceBook

Search Language
Medical Animations
Medical Animation Titles
Custom Legal Animations
Patient Health Articles
Custom Interactive
Most Recent Uploads
Body Systems/Regions
Anatomy & Physiology
Diseases & Conditions
Diagnostics & Surgery
Cells & Tissues
Cardiovascular System
Digestive System
Integumentary System
Nervous System
Reproductive System
Respiratory System
Back and Spine
Foot and Ankle
Head and Neck
Medical Specialties
Administrator Login
Pull-Through Procedure for Hirschsprung Disease - Medical Animation
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

If animation does not play, download and install the latest free Flash Player plugin.
More Like ThisAdd To Lightbox ANH13118 Enlarge Share
Ready to Purchase?


Order by phone: (800) 338-5954
Item #ANH13118Source #1

Pull-Through Procedure for Hirschsprung Disease - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Hirschsprung disease is a birth defect in babies in which part of the large intestine is unable to move waste properly. This causes a blockage in the large intestine of a newborn baby. The large intestine includes the colon and rectum. After digested food moves through the small intestine, it enters the large intestine. As it moves through the colon, water and salt are absorbed and solid waste forms. The waste enters the rectum, which pushes it out of the body through the anus. During a normal pregnancy, nerve cells travel down the developing nervous system to the growing digestive system, including the large intestine. These nerve cells develop into ganglion cells between the muscle layers of the large intestine. The ganglion cells send nerve signals to the muscle layers to contract and relax. These contractions are part of a series of wavelike motion that push waste along the length of the large intestine. In a newborn baby, this movement pushes waste along the length of the large intestine toward the rectum and anus. If the developing baby has Hirschsprung disease, these cells either don't reach this area or don't become functioning ganglion cells when they get there. When this baby is born, a section of large intestine does not have ganglion cells. It can also extend for a short segment or a longer segment involving the colon or rarely the entire colon. Without ganglion cells to signal the intestinal wall to relax, this area of the large intestine stays contracted and narrow blocking the passage of waste and gas. As waste and gas build up behind the blockage, the large intestine an abdomen begin to swell. The baby may develop and intestinal infection called enterocolitis. Then, the intestine may stretch further and cause vomiting and nutrition problems. A baby with Hirschsprung disease will need a surgical procedure to remove the diseased section of his or her large intestine. Until the baby is ready to have this procedure, he or she will need rectal irrigations. This procedure will help remove gas and waste several times a day, which helps prevent infection. The most common surgical procedure for Hirschsprung disease is called a laparoscopically assisted transanal pull-through. During the procedure, the surgeon will make three or four tiny incisions in the baby's abdomen and insert a thin, lighted camera and special instruments. The surgeon will use these instruments to loosen and remove the diseased intestine's attachments to the body. To remove the disease intestine, the surgeon will make a circular incision in the baby's rectum inside of the anus. Then, the surgeon will pull the diseased intestine out through the babies anus and remove it. The remaining healthy intestine will be sutured to the baby's anus. This new connection will form a tube that can properly move waste out of the body. At the end of the procedure, the surgeon will remove the instruments and close the abdominal incisions with sutures or skin closure tape. Since most of the procedure will be done through the anus, there will be no incisions to close outside the anus.

Post-accident Wrist Fractures with Surgical Fusion and Left Hip Bone Grafting
Post-accident Wrist Fractures with Surgical Fusion and Left Hip Bone Grafting - exh4725
Medical Exhibit
Add to my lightbox
Find More Like This
Multiple Cervical Spine Injuries
Multiple Cervical Spine Injuries - exh37903
Medical Exhibit
Add to my lightbox
Find More Like This
Post-accident Left Eye Orbital Face Fractures with Surgical Repair
Post-accident Left Eye Orbital Face Fractures with Surgical Repair - exh45607b
Medical Exhibit
Add to my lightbox
Find More Like This
Gallbladder Leak
Gallbladder Leak - AC00180
Medical Illustration
Add to my lightbox
Find More Like This
Inflammation of Left Lumbar Nerves
Inflammation of Left Lumbar Nerves - 3DSAB11333a
Medical Illustration
Add to my lightbox
Find More Like This
Right ACL Tear with Arthroscopic Repair
Right ACL Tear with Arthroscopic Repair - exh77176
Medical Exhibit
Add to my lightbox
Find More Like This
This exhibit is available in these languages:
What attorneys say about MLA and The Doe Report:
"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"Medical Legal Art has always performed quality and efficient work. The doctors that review the exhibits are always amazed at the precise descriptions and drawings."

Michael Beckman
Viles Law Firm, P.A.
Fort Meyers, FL

"For modern audiences, it is absolutely essential to use medical demonstrative evidence to convey the severity and extent of physical injuries to a jury. Your company's high quality illustrations of our client's discectomy surgery, combined with strong expert testimony, allowed the jury to fully appreciate the significance of our client's injuries.

We are very pleased with a verdict exceeding $297,000.00, far in excess of the $20,000.00 initially offered by the defendant. The medical demonstrative evidence provided by Medical Legal Art was an asset we could not have afforded to have been without."

Todd J. Kenyon
Attorney at Law
Minneapolis, MN

"Our practice involves medical negligence cases exclusively. We have six attorneys and one physician on staff. We have used Medical Legal Art's staff for every one of our cases over the past 12 years and have found their services to be extraordinary. The transformation of medical records into powerful graphic images has without fail been handled expertly, expeditiously and effectively translating into superb results for our clients, both in the courtroom and in settlement. Every case can benefit from their excellent work and we unqualifiedly recommend their services. They are the best!"

Chris Otorowski
Morrow and Otorowski
Bainbridge Island, Washington

Awards | Resources | Articles | Become an Affiliate | Free Medical Images | Pregnancy Videos
Credits | Jobs | Help | Medical Legal Blog | Find a Lawyer | Hospital Marketing