"  The Laparoscopic Assisted Duhamel Pull through Procedure for Hirschsprung’s Disease: Our Technique and Short Term Results "

Singh, Sunita; Wakhlu, Ashish; Srivastava, Niraj Kumar; Ahmad, Intezar

doi:10.15406/jpnc.2017.07.00281

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…In present study, group I patients underwent Modified Duhamel's procedure and group II patients underwent transanal endorectal pull-through procedure. Singh et al [8] found that mean age of surgery was 6.0±0.23 months comparable in both groups (ranged 3 m-5 yrs). Mean operative time, blood loss and hospital stay with range were 80±0.30 (70-100 minutes), 50±0.20 (40-90 ml) and 6±0.21 (3-12 days) less in LADPT cases compared with open Duhamel (p value .008, 0.0067 and .009 respectively).…”

Section: Discussionmentioning

confidence: 84%

Comparative study between Duhamel and endorectal pull through in hirschsprung’s disease

Agarwal¹,

Kundu²

2019

Int. J. Surg. Sci.

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Background:The surgery for Hirschsprung's disease is changed from multistage surgery to single stage. The present study compared Duhamel and endorectal pull through in hirschsprung disease. Materials & Methods:The present study was conducted on 48 patients with Hirschsprung's disease of both genders. Patients were divided into 2 groups of 24 each. Group I patients underwent Modified Duhamel's procedure and group II patients underwent transanal endorectal pull-through procedure. Parameters such as blood loss, operating time and intra-operative complications etc. were recorded. Results: Group I patients underwent Modified Duhamel's procedure and group II patients underwent transanal endorectal pull-through procedure. Mean operative time in group I was 146.2 minutes and in group II was 143.6 minutes, recovery days were 20.4 and 19.1 in both groups and hospital stay was 13.7 days and 12.8 days respectively. The difference was non-significant (P>0.05). Blood loss was seen in 2 and 3 in group I and II respectively, continence in 2 and 1 in both genders respectively and frequent stool passing in 3 and 2 in group I and II respectively. The difference was non-significant (P>0.05). Conclusion:Authors found both techniques equally affective in management of cases. The choice of treatment depends upon surgeon's choice and conditions.

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Section: Discussionmentioning

confidence: 84%

Comparative study between Duhamel and endorectal pull through in hirschsprung’s disease

Agarwal¹,

Kundu²

2019

Int. J. Surg. Sci.

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“…After making a diagnosis through history taking, physical examination and supporting examinations, patients with Hirschprung's disease must be given immediate treatment [9,10,11]. The principle of action in Hirschprung's disease is to resect the aganglionic intestine and pull the ganglionic intestine through a point just above the dentate line [12][13][14]15,16,17].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Long-term Outcomes between Hirschsprung's Disease Patients after Soave Procedure and Duhamel Procedure Based on the Paediatric Incontinence and Constipation Scoring System: A Retrospective Cohort Study

Sentoso,

Agustriani,

2024

AJMAH

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Introduction: Hirschprung's disease is a congenital disease that causes intestinal motility disorders. Hirschprung's disease is still the most common condition that causes intestinal obstruction in children. The incidence of Hirschprung's disease is 1:5000 live births. The incidence ratio of this disease is around 4:1 between men and women, with a higher percentage of men 1,3,4. Approximately 75% of cases of Hirschprung's disease occur in the rectosigmoid colon area, 17% in the splenic flexure or transverse colon and 8% along the colon and terminal ileum. The Duhamel technique still remains a popular procedure most surgeons especially for long segment treatment and redo procedures.28, 30 The advantage of the Duhamel Procedure is that it is easy to perform, reduces the risk of damage to surrounding structures such as genitourinary innervation, but has the possibility of complications of anastomotic leakage which causes fistulas and abscesses. Materials and Methods: Total subjects of this study was 441 patients with Hirschprung's disease who were treated with the Soave procedure and the Duhamel procedure at Dr. Moewardi General Hospital in Surakarta, Central Java, Indonesia for the period January 2017 - January 2022. This type of research is descriptive analytics with a retrospective cohort. Results: The results of the study can be concluded that patients with HAEC increases the risk of constipation. Congenital abnormalities predispose to fecal incontinence. Differences in surgical techniques do not significantly influence or increase the risk of constipation and fecal incontinence based on statistical tests. However, the increased risk of constipation and fecal incontinence is higher in patients undergoing the Duhamel surgical procedure. Conclusion: Conclusions that can be drawn from research regarding the comparison of long-term outcomes of Hirschsprung disease patients after Soave and Duhamel operations based on the Pediatric Incontinence and Constipation Scoring System at Dr. Moewardi General Hospital in Surakarta, Indonesia for period January 2017 – January 2022, it can be concluded that there is no significant difference in the outcome of patients who underwent the Soave or Duhamel procedures. The Duhamel procedure has a higher prevalence of complications of constipation and fecal incontinence compared to the Soave procedure. The presence of HAEC before the surgical procedure increases the risk of constipation, significantly in the Soave and Duhamel procedures.

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Laparoscopic-Assisted Duhamel for Hirschsprung's Children Older than 3 Years

Arafa¹,

Eltantawi²,

Ragab³

2022

African Journal of Paediatric Surgery

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Context: Hirschsprung's disease (HD) is a congenital anomaly affecting the enteric nervous system commonly the rectosigmoid region. Treatment is surgical where the aganglionic segment is resected, and bowel continuity is achieved by a colo-anal anastomosis. In 1999, Georgeson et al. proposed a new technique of primary laparoscopic-assisted pull through for HD as a new gold standard. Aim of the Study: To evaluate the outcome of the laparoscopic Duhamel procedure for the management of HD in children older than 3 years. Methods: This study was performed on 8 patients who were more than 3-year-old, with confirmed diagnoses of HD. Patients who initially presented with enterocolitis or obstruction were excluded from this study. In all cases, laparoscopic-assisted Duhamel was done. Results: We reported our results for the 1st year follow-up period and divided our results into early outcome for the first 3 months postoperative during which we had 2 cases complaining of enterocolitis that responded to conservative treatment, we observed 2 cases of perianal excoriation that responded to medical treatment while the late outcome was reported after 3 months postoperative: We had two cases with attacks of enterocolitis at 6 months and 9 months postoperatively that needed conservative treatment in the hospital in the form of parenteral antibiotics, rectal irrigation, intravenous fluids and NP0. There was neither anastomotic leak nor stenosis. Conclusion: Laparoscopic Duhamel for the management of HD in children older than 3 years is safe and useful procedure.

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" The Laparoscopic Assisted Duhamel Pull through Procedure for Hirschsprung’s Disease: Our Technique and Short Term Results "

Cited by 3 publications

References 18 publications

Comparative study between Duhamel and endorectal pull through in hirschsprung’s disease

Comparative study between Duhamel and endorectal pull through in hirschsprung’s disease

Comparison of Long-term Outcomes between Hirschsprung's Disease Patients after Soave Procedure and Duhamel Procedure Based on the Paediatric Incontinence and Constipation Scoring System: A Retrospective Cohort Study

Laparoscopic-Assisted Duhamel for Hirschsprung's Children Older than 3 Years

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