[Neonatal treatment of Hirschsprung disease using the Duhamel-Martin technique]

The definitive surgical treatment in the first months of life without colostomy are essential principles at present in the management of Hirschsprung's disease. The appearing of little size stapling devices like EndoGIA, from the development of laparoscopic surgery, make possible the application of the classical surgicall procedures on early age patients. The experience in five patients operated under two months of life with the Duhamel-Martin procedure is reported. Only in one case previous colostomy was performed for one episode of enterocolitis at age of fifthteen days. The stapling of both pouches was performed with EndoGIA. The agartglionic pouch was closed with TA Roticulator. That provides a reduction in the high of the aganglionic pouch at minimum. Follow-up varied from 3 months to 2 years, without any complication.