The operative treatment in Hirschsprung’s disease is only undeaken when child –
**Core Concept**
Hirschsprung's disease is a congenital condition characterized by the absence of ganglion cells in the distal colon and rectum, leading to functional obstruction. The primary goal of treatment is to remove the affected segment and restore normal bowel function.
**Why the Correct Answer is Right**
The operative treatment of choice in Hirschsprung's disease is a pull-through procedure, which involves removing the affected segment of the colon and resecting the aganglionic portion. This approach is typically recommended after the age of 6 months, when the child's overall health and nutritional status are stable. The procedure involves a surgical intervention to remove the diseased segment of the colon, allowing for the restoration of normal bowel function.
**Why Each Wrong Option is Incorrect**
**Option A:** Performing surgery before 6 months of age may not be ideal, as the child's nutritional status and overall health may not be optimal for a major surgical procedure.
**Option B:** This option is incomplete, but it is not the correct answer. The correct answer is the one that specifies the age.
**Option D:** This option does not provide a specific age, making it an incomplete choice.
**Clinical Pearl / High-Yield Fact**
In Hirschsprung's disease, the absence of ganglion cells leads to a failure of peristalsis, resulting in a functional obstruction. The pull-through procedure is the treatment of choice, typically performed after the age of 6 months when the child's overall health and nutritional status are stable.
**Correct Answer:** C.