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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.
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|May 6, 1999
Summary
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.