Imran Hashim, Sabeegh Rana, Naveed Haider, Muhammad Ali Sheikh, Soban Hameed, Wajeeh-ur Rehman, Tariq Latif.
Modified Duhamel Pull through Procedure in patients with Hirschsprung’s Disease.
Pak J Med Health Sci Jan ;12(3):1050-1.

Background: Hirschsprung’s Disease (HD) is one of the most common congenital conditions seen by pediatric surgeons. The curative surgery consists of total or subtotal resection of aganglionic segment followed by pull through of normally innervated intestine. Aim : To determine the early postoperative outcome in terms of complications regarding Modified Duhamel Pull Through Procedure in patients with H.D. Methods: A descriptive series of cases was carried out in the Paediatric Surgery Department of the Sheikh Zayed Medical Institute in Lahore. After obtaining the approval of the Ethics Review Board, 75 cases of HD were selected for study. Demographic details including (age, gender, weight) and follow up till three months postoperatively done for early complications such as (wound infection, intestinal obstruction, constipation, anorectal stenosis & enterocolitis). After data collection SPSS 20 was used for analysis. Results: Seventy five patients were the included in this study, mean age of children were 5.7+/- 2.6 yrs. Male & female were 68% and 32% respectively. The average patient weight was 17.8+/-7.6 kilograms. Most common complication was enterocolitis seen in 50% cases. Only 8 children had surgical site infection. Conclusion: We have concluded that modified Duhamel is an easy and safe operative technique with the few known post-operative complications.

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