Comparative study between Duhamel and endorectal pull through in hirschsprung’s disease

Abstract

Background: The surgery for Hirschsprung’s disease is changed from multistage surgery to single stage. The present study compared Duhamel and endorectal pull through in hirschsprung disease. Materials & Methods: The present study was conducted on 48 patients with Hirschsprung’s disease of both genders. Patients were divided into 2 groups of 24 each. Group I patients underwent Modified Duhamel’s procedure and group II patients underwent transanal endorectal pull-through procedure. Parameters such as blood loss, operating time and intra-operative complications etc. were recorded. Results: Group I patients underwent Modified Duhamel’s procedure and group II patients underwent transanal endorectal pull-through procedure. Mean operative time in group I was 146.2 minutes and in group II was 143.6 minutes, recovery days were 20.4 and 19.1 in both groups and hospital stay was 13.7 days and 12.8 days respectively. The difference was non- significant (P>0.05). Blood loss was seen in 2 and 3 in group I and II respectively, continence in 2 and 1 in both genders respectively and frequent stool passing in 3 and 2 in group I and II respectively. The difference was non- significant (P>0.05). Conclusion: Authors found both techniques equally affective in management of cases. The choice of treatment depends upon surgeon’s choice and conditions.