@article{ناصر_2021, title={A modified technique of Duhamel procedure for the treatment of Hirschsprung disease ( anastomosis without suturing).}, volume={43}, url={https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/10920}, abstractNote={<p><strong><em>Back ground/ purpose</em></strong><strong>:</strong> 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</p> <p><strong><em>Materials and Methods</em></strong>: 32 pediatric patients with rectal and sigmoid aganglionosis have been operated by modified technique of Duhamel operation for HD, divided in three groups:                        </p> <p> Group I:  4 patients operated by 3 stage procedure</p> <p>Group II:  8 patients operated by two stage procedure</p> <p>Group III: 20 patients operated by one stage procedure without colostomy</p> <p>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.</p> <p>The clamp will fell down after 5-7 days by aseptic necrosis, and a wide side-to- side anastomosis is completed</p> <p><em>  <strong>Results</strong></em>: 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.</p> <p><strong>Conclusion</strong><strong>: </strong>this modified technique of Duhamel procedure is safe and easy performable with good results.</p> <p><strong> </strong></p>}, number={4}, journal={Tishreen University Journal -Medical Sciences Series}, author={ناصر محمد}, year={2021}, month={Sep.} }