title: The modified Duhamel operation for Hirschsprung's disease performed entirely with mechanical sutures.
abstract: The Duhamel operation of retrorectal transanal pull-through is a widely used technique in the treatment of Hirschsprung's disease. Modifications of the technique have been made with the introduction of stapling instruments. The construction of a side-to-side colorectal anastomosis has been facilitated with the introduction of the GIA linear anastomosing instrument. The advent of the EEA stapling device has allowed us to perform a modified Duhamel operation in a 9-month-old boy with Hirschsprung's disease using mechanical sutures entirely. The technique for the procedure is described.
authors.forename: F M
authors.initials: FM
authors.lastname: Steichen
authors.forename: N A
authors.initials: NA
authors.lastname: Spigland
authors.forename: D
authors.initials: D
authors.lastname: Nunez
mesh_terms: D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D013528:Surgical Staplers; D013536:Suture Techniques