title: Fish mouth and parachute surgical technique for hirschsprung's disease: our experience in 254 cases with a modified form of Duhamel-Martin procedure.
abstract: OBJECTIVE
  This study examined the long-term therapeutic effect of fish mouth and parachute technique anastomosis for Hirschsprung's disease.
  
  
  METHODS
  From March 1992 to October 2002, we performed one-stage fish mouth and parachute technique anastomosis for 293 patients with Hirschsprung's disease. Two hundred and fifty-four patients (79 percent) were followed up for three to five years. The operative outcome and postoperative complications were retrospectively analyzed.
  
  
  RESULTS
  Two hundred ninety-three patients were included in the study, the majority of patients were male (n = 205, 70 percent) and ages ranged between 8 months and five years. Early complications were low (n = 7, 2.3 percent) and included urine retention (n = 2), enteritis (n = 2), and intestinal obstruction (n = 3). No infection of the abdominal cavity or wound, anastomotic leakage, or death occurred in any patients. Late complications were present in 10 cases (3.4 percent).
  
  
  CONCLUSIONS
  The fish mouth and parachute surgical technique procedure showed some practical benefits and fewer complications than traditional surgical techniques for the treatment of Hirschsprung' s disease.
authors.affiliation: Department of General and Vascular Surgery and Traumatology, Shohada Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran. seyed29@yahoo.com
authors.forename: S R
authors.initials: SR
authors.lastname: Mousavi
authors.forename: Z
authors.initials: Z
authors.lastname: Mehdikhah
authors.forename: Ali
authors.initials: A
authors.lastname: Kavyani
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D002675:Child, Preschool; D005260:Female; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome