Abstract
A primary Duhamel pull-through procedure without a covering colostomy was performed for Hirschsprung's disease in 22 infants from 1987 to 1992. The age range at operation was 14 to 90 days (mean 43.7 days). The average weight at surgery was 3.69 kg (2.28–6.20 kg). The most common level of aganglionosis was rectosigmoid (50%). A one-stage Duhamel procedure using a Proximate (Ethicon, Somerville, USA) linear anastomosing instrument (PLC50) was performed in all cases. Postoperative morbidity occurred in 4 patients (18%). There were no associated deaths. Primary corrective treatment without an enterostomy and the feasibility of utilizing a stapling device for the colorectal anastomosis in infants under 3 months of age using the Duhamel retrorectal, transanal pull-through for Hirschsprung's disease is discussed.
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References
Caniano DA, Teitelbaum DH, Qualman SJ (1990) Management of Hirschsprung's disease in children with trisomy 21. Am J Surg 159: 402–404
Carcassone M, Guys JM, Morrison LG, Krietmann B (1989) Management of Hirschsprung's disease: curative surgery before 3 months of age. J Pediatr Surg 24: 1032–1034
Dohrman P, Mengel W, Schaube H (1990) Deep anterior resection with circular stapled anastomosis of congenital megacolon: clinical results. Prog Pediatr Surg 25: 97–102
Foster P, Cowan G, Wrenn LE Jr (1990) Twenty-five years experience with Hirschsprung's disease. J Pediatr Surg 5: 531–534
Holschneider AM, Soylet Y (1989) Rehbein anterior resection in the treatment of Hirschsprung's congenital megacolon: manual or stapler anastomosis — a comperative study. Z Kinderchir 44: 2216–2220
Hung WT (1991) Treatment of Hirschsprung's disease with a modified Duhamel-Grob-Martin operation. J Pediatr Surg 26: 849–852
Joseph VT, Sim CK (1987) Experience in the surgical management of Hirschsprung's disease. Ann Acad Med Singapore 16: 518–526
Najmaldin AS, Burge DM, Griffiths DM, Freeman NV (1991) Primary modified Duhamel pull-through for Hirschsprung's disease in the newborn. Poster presentation by Freeman NV at the British Association of Paediatric Surgeons, XXXVIII Annual International Congress, Budapest, Hungary
Soper RT, Miller FE (1968) Modification of Duhamel procedure: elimination of rectal pouch and colorectal septum. J Pediatr Surg 3: 376–377
Steichen FM, Spigland AN, Domingo N (1987) The modified Duhamel operation for Hirschsprung's disease performed entirely with mechanical sutures. J Pediatr Surg 22: 436–438
Steichen FM, Talbert JL, Ravtich MM (1968) Primary side to side colorectal anastomosis in the Duhamel operation for Hirschsprung's disease. Surgery 64: 475–483
Talbert JL, Seashore JH, Ravitch MM (1974) Evaluation of a modified Duhamel operation for correction of Hirschsprung's disease. Ann Surg 179: 671–675
Wilson SD, Scobie WG, McGenity KG (1990) Microbiological studies of the enterocolitis of Hirschsprung's disease. Arch Dis Child 65: 1338–1339
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Correspondence to: M. Samuel
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Samuel, M., Freeman, N.V. Primary modified Duhamel operation for Hirschsprung's disease in infants. Pediatr Surg Int 9, 61–63 (1994). https://doi.org/10.1007/BF00176112
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DOI: https://doi.org/10.1007/BF00176112