Outcome of Duhamel’s Pull-through in Hirschsprung’s Disease: A Tertiary Center Experience
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Background: Duhamel’s procedure (DP) is one of the classical surgeries described for Hirschsprung’s disease (HD). It is the most common procedure for HD at our center. Objective: Analysis of the results, complications, and follow-up of DP in patients of HD at a tertiary care center. Materials and Methods: Medical records of 72 patients who had undergone DP for HD at a tertiary care institute were obtained. These patients were followed in the outpatient’s department to see their quality of life and any complications. This data were used to critically analyze this operative method and its results. Results: Wound infection (5.56%), rectal stump leak (1.39%), perianal excoriation (5.56%), enterocolitis (8.33%), stricture formation (1.39%), constipation (6.94%), bleeding per rectum (2.78%), remnant spur and spur-related complication (4.17%), fecal impaction (2.78%), adhesive bowel obstruction (2.78%), incontinence (5.56%), and lower urinary symptoms (9.72%) were some complications observed in this study. Most of these complications were successfully managed. Conclusions: Staged DP done after an initial colostomy has good results and can be done in complicated cases presenting with perforation, long-segment disease, enterocolitis, and massive megacolon. Post-operative complications can usually be managed successfully leading to a significant improvement in the quality of life.
Authors and Affiliations
Vinit K Thakur, Sandip K Rahul
Keywords
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