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[The value of anorectal sphincteromyectomy for the diagnosis and treatment of chronic constipation in children].

From January 1974 till the end of 1981, 105 children with chronic constipation not responding to any medical treatment, were submitted to anorectal myomectomy. This operation has both a diagnostic and a therapeutic value; the histological study of the muscle biopsy can confirm or not a Hirschsprung's disease. It is also an ideal treatment in cases of achalasia and idiopathic chronic constipation. If necessary a secondary rectosigmoidectomy can be performed. We did not have any important complication, none of our patients had soiling. Eighty-eight percent of our patients had regular bowel movements after the anorectal myomectomy with a better individual, social and family life.