The modified Duhamel operation for Hirschsprung's disease performed entirely with mechanical sutures.
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.
Steichen
F M
FM
Spigland
N A
NA
Nunez
D
D
D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008722:Methods; D013528:Surgical Staplers; D013536:Suture Techniques