Laparoscopic Duhamel Procedure with Ex-Anal Rectal Transection for Right-Sided Hirschsprung's Disease

2017 ◽  
Vol 27 (9) ◽  
pp. 972-978 ◽  
Author(s):  
Xi Zhang ◽  
Li Yang ◽  
Shao-tao Tang ◽  
Guo-qing Cao ◽  
Shuai Li ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Rectal Transection ◽  
Duhamel Procedure

scholarly journals HIRSCHSPRUNG’S DISEASE

2010 ◽  
Vol 17 (02) ◽  
pp. 223-231
Author(s):  
MUHAMMAD ZAFAR IQBAL ◽  
Hammad Azam ◽  
MUHAMMAD JAHANGIR ◽  
Muhammad Tahir ◽  
MUHAMMAD ANWAR ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Case Series ◽  
Abdominal Distension ◽  
Functional Results ◽  
International Studies ◽  
Stool Incontinence ◽  
Case Series Study ◽  
Duhamel Procedure ◽  
One Year

Introduction: Hirschsprung’s Disease is one of the most common congenital anomalies that Pediatric Surgeons manage. In spite of the various modifications of pull through procedures available, the long term functional results are less than ideal. However, Modified Duhamel Procedure is one which has relatively good functional results and that is the reason we have selected this procedure for Hirschsprung’s disease in Sheikh Zayed Hospital, Rahim Yar Khan. Objectives: To evaluate the outcome of patients after Modified Duhamel Procedure for Hirschsprung’s Disease. Design: This is case series study. Settings: Department of Pediatric Surgery Sheikh Zayed Medical College/ Hospital Rahim Yar Khan. Period: Seventeen cases were studied over a period of two year i.e. from November 2006 to December, 2008. Material and Method: Seventeen (17) cases from both sexes were operated for Hirschsprung’s Disease over a period of one year and Modified Duhamel Procedure was adopted for all these cases. All patients were diagnosed cases of rectosigmoidal aganglionosis and follow up was done over a period of one year according to a comprehensive Proforma. Four parameters like normal stool evacuation, abdominal distension, soiling and stool incontinence were followed and then the results were compared with other national and international studies. Results: Fever 19.4% (n=04), wound infection 19.4% (n=04), vomiting 9.52% (n=02), abdominal distension 4.76% (n=01), and bleeding per rectum 4.76% (n=01), were the immediate post operative complications. Fourteen patients (82.35%), used to pass stool once daily. Abdominal distension was observed occasionally in six patients (28.57%). Soiling was seen in five patients (29.41%). Out of Seventeen, stool incontinence was seen in only three patients (17.64%). Conclusion: Modified Duhamel Procedure with the help of linear cutter stapler device is quite safe, easy and less time consuming. Infact Modified Duhamel is a procedure of choice for Hirschsprung’s Disease. 

Hirschsprung’s Disease in Adults: the Duhamel Procedure

2004 ◽  
Vol 104 (3) ◽  
pp. 304-308 ◽  
Author(s):  
J. Vanoorbeek ◽  
M. Kint ◽  
J.-P. Yvergneaux
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Duhamel Procedure

Outcome of laparoscopic modified Duhamel procedure with Z-shaped anastomosis for Hirschsprung’s disease

2011 ◽  
Vol 26 (5) ◽  
pp. 1325-1331 ◽  
Author(s):  
Naoto Urushihara ◽  
Koji Fukumoto ◽  
Hiroaki Fukuzawa ◽  
Akihide Sugiyama ◽  
Kentaro Watanabe ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Duhamel Procedure

Use of a new stapling device in the performance of the duhamel procedure for Hirschsprung's disease

1990 ◽  
Vol 25 (2) ◽  
pp. 253-254
Author(s):  
Donald B. Shaul ◽  
Marshall Z. Schwartz ◽  
Clifford C. Marr ◽  
Kenneth R.T. Tyson
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Stapling Device ◽  
Duhamel Procedure

Long-Term Outcome of Laparoscopic Duhamel Procedure for Extended Hirschsprung's Disease

2016 ◽  
Vol 26 (12) ◽  
pp. 1032-1035 ◽  
Author(s):  
Cécile O. Muller ◽  
Guillaume Rossignol ◽  
Louise Montalva ◽  
Jerome Viala ◽  
Christine Martinez-Vinson ◽  
...  
Keyword(s):  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Duhamel Procedure

scholarly journals Obstructive complications after pull-through for Hirschsprung’s disease: different causes and tailored management

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Mohammed Elsherbeny ◽  
Sameh Abdelhay
Keyword(s):  
Botulinum Toxin ◽  
Anal Sphincter ◽  
Surgical Procedures ◽  
Internal Anal Sphincter ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Botulinum Toxin Injection ◽  
Successful Outcome ◽  
Duhamel Procedure ◽  
Pull Through

Abstract Background Most children have a successful outcome after a pull-through for Hirschsprung’s disease. Some may have persisting symptoms after the pull-through. They could be managed conservatively, need minor surgical procedures, or a redo pull-through will be required. In this study, we presented our results in the management of the obstructive complications after pull-through for Hirschsprung’s disease. Results During the specified time period from January 2011 to December 2015, 21 patients presented to our department with persistent constipation or recurrent enterocolitis after a pull-through for Hirschsprung’s disease. Their age ranged between 4 months and 5 years (mean 2 years, median 2.5 years). They were 13 males and 8 females. Eleven patients underwent initial trans-anal endorectal pull-through, 4 underwent Duhamel procedure, and 6 underwent abdominal Soave technique. Three of the 11 patients with initial trans-anal endorectal pull-through had a tight anastomotic stricture which responded well to dilatation, 2 had a long muscular cuff which was incised laparoscopically, 4 had spasm of the internal anal sphincter which was relieved by sphincterotomy, and 2 had residual aganglionosis which required a redo pull-through. Two of the 4 patients who underwent initial Duhamel procedure had a long spur which was divided using a stapler, and the other 2 patients had residual aganglionosis which required a redo pull-through. One of the 6 patients who underwent abdominal Soave technique developed a long tight stricture and required a redo pull-through; in 1 patient, biopsy confirmed hypoganglionosis of the whole colon and was managed medically, and 4 patients had spasm of the internal anal sphincter which was relieved in 1 of them by sphincterotomy and in 2 by botulinum toxin injection while the remaining patient did not improve by either sphincterotomy or botulinum toxin injection. Conclusion Persistent constipation or recurrent enterocolitis after pull-through for Hirschsprung’s disease should be managed according to the cause; they could be managed medically by simple surgical procedures, or a redo pull-through may be required.

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