A modified technique of Duhamel procedure for the treatment of Hirschsprung disease ( anastomosis without suturing).

Authors

  • Mohammad Nasser Tishreen University

Abstract

Back ground/ purpose: the aim of this study was to evaluate the long- term follow-up results of a modified technique of Duhamel operation for the  treatment of Hirschsprung disease in 32 pediatric patients admitted in  Al Assad and Tishreen university hospitals-department of pediatric surgery in lattakia-Syria,between the year of 2005- 2020 Materials and Methods: 32 pediatric patients with rectal and sigmoid aganglionosis have been operated by modified technique of Duhamel operation for HD, divided in three groups:                          Group I:  4 patients operated by 3 stage procedure Group II:  8 patients operated by two stage procedure Group III: 20 patients operated by one stage procedure without colostomy The modified technique is by using a special crushing clamp, which is placed on the posterior aganglionic wall of the rectum and anterior wall of ganglionic one of the normal colon after pull-through for fixation without suturing or utilizing any stapler. The clamp will fell down after 5-7 days by aseptic necrosis, and a wide side-to- side anastomosis is completed   Results: Early postoperative complications were seen in four patients as minimal fecal soiling (one in group I, 1 in group II and two in group III respectively) which was disappeared after one month spontaneously. Functional results in all patients were good in 28 patients (87.5%), constipation was in two patients (6.25%), which controlled with high-fiber diet and an oral laxative. Conclusion: this modified technique of Duhamel procedure is safe and easy performable with good results.  

Author Biography

Mohammad Nasser, Tishreen University

professor ped. Surgeon (Ph.D.),Tishreen hospital

Published

2021-09-16

How to Cite

1.
Nasser M. A modified technique of Duhamel procedure for the treatment of Hirschsprung disease ( anastomosis without suturing). Tuj-hlth [Internet]. 2021Sep.16 [cited 2021Dec.1];43(4). Available from: http://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/10920