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Stone's enterostomy crushing clamp for modified Duhamel's procedure
S Agarwala1, V Bhatnagar, D K Mitra
1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Insights
Stone's enterostomy crushing clamps offer a safe and effective alternative for the modified Duhamel procedure in Hirschsprung's disease treatment. This reusable option is cost-effective and improves patient comfort, enabling earlier mobilization.
Area of Science:
- Pediatric Surgery
- Surgical Innovation
Background:
- The modified Duhamel procedure is a surgical technique for Hirschsprung's disease.
- Evaluating novel instrumentation is crucial for improving surgical outcomes and patient recovery.
Purpose of the Study:
- To assess the safety and benefits of using Stone's enterostomy crushing clamps.
- To compare this method with existing tools in the modified Duhamel procedure.
Main Methods:
- A prospective study was conducted at a tertiary pediatric surgery center.
- The study included all patients undergoing the modified Duhamel procedure for Hirschsprung's disease between February 1994 and February 1998.
Main Results:
- Stone's clamp was easier to apply and required no additional pelvic dissection.
- No immediate or delayed complications were observed.
- Patients experienced enhanced comfort and earlier postoperative mobilization.
- The clamp presented a more economical alternative to staplers.
Conclusions:
- Stone's enterostomy crushing clamp is a safe, effective, and cost-efficient reusable alternative.
- It offers advantages over Kocher's clamp and stapling devices for the modified Duhamel procedure.
Aim:
To evaluate the safety and advantages of the use of Stone's enterostomy crushing clamps in modified Duhamel procedure.
Material And Methods:
Prospective study at a tertiary care paediatric surgery centre between February 1994 through February 1998 involving all cases undergoing modified Duhamel procedure for Hirschsprung's disease.
Results:
Twenty eight patients, ranging from 5 months to 14 years were included in the study. The clamp was found to be easier to apply, needed no extra pelvic dissection and there were no immediate or delayed complications. The children were more comfortable and could be mobilized out of bed sooner post-operatively. It is a much cheaper option than staplers.
Conclusion:
The Stone's enterostomy crushing clamp is a reasonably cheap, reusable, safe and effective alternative for the Kocher's clamp and stapling devices for modified Duhamel procedure.