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

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Published

2021-09-16

How to Cite

1.
ناصر م. A modified technique of Duhamel procedure for the treatment of Hirschsprung disease ( anastomosis without suturing). Tuj-hlth [Internet]. 2021Sep.16 [cited 2024Apr.19];43(4). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/10920

Issue

Vol. 43 No. 4 (2021): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

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Articles

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