Single-stage Modified Duhamel procedure for Hirschsprung's disease : our experience

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Surgical Innovation

Background:

• Hirschsprung's disease (HD) management often involves staged surgical approaches.
• Single-stage pull-through procedures offer comparable outcomes with reduced morbidity.
• The Modified Duhamel procedure is a key technique in HD treatment.

Purpose of the Study:

• To evaluate the efficacy and outcomes of a single-stage Modified Duhamel procedure for Hirschsprung's disease.
• To assess the morbidity and functional results associated with this approach.
• To determine if a single-stage procedure is a viable alternative to staged operations.

Main Methods:

• Retrospective review of 48 pediatric patients with Hirschsprung's disease.
• All patients underwent a single-stage Modified Duhamel procedure without a protective colostomy.
• Data collected included patient demographics, surgical details, and postoperative outcomes.

Main Results:

• The study included 48 patients with HD, with ages ranging from 6 months to 10 years.
• The single-stage Modified Duhamel procedure demonstrated low rates of major complications (3/48) and minor complications (6/48).
• All patients achieved satisfactory functional outcomes, with normal growth and development, and a reduced hospital stay.

Conclusions:

• The single-stage Modified Duhamel procedure is a safe and effective treatment for Hirschsprung's disease.
• This approach offers significant benefits including low morbidity, satisfactory functional outcomes, and economic advantages.
• Avoidance of stoma and multiple surgeries makes it a preferred option for HD management.