Abstract:

Aim: Duhamel operation is widely used in the definitive treatment of Hirschsprung disease (HD) because of its many advantages. However, various modifications of Duhamel's classical technique have been developed to eliminate the blind rectal pouch. In this series, we present our modification of the Duhamel-Martin technique.

Materials and Methods: A new modification was applied to eliminate the blind rectal pouch in seven consecutive patients. After using a stapler between the pulled-through colon and the aganglionic rectum, mucosectomy was performed at the proximal end of the aganglionic blind pouch, and an acceptable small rectal ampullary volume was obtained.

Results: Radiologically, the rectal aganglionic blind pouch was eliminated, and no complications were observed during the follow-up period.

Conclusion: This new, simple, and promising modification eliminates the aganglionic pouch and its complications, which is a significant disadvantage of Duhamel’s operation.

Keywords: