Simple modification of Duhamel's operation for the treatment of Hirschsprung's disease. 11 year results.

Surgery was performed in 45 patients with Hirschsprung's disease utilizing our modified Duhamel's procedure. A specifically designed crushing clamp was used to eliminate the development of a blind rectal pouch and the suture line of the retained rectal end. Postoperative complications were relatively rare. Manometric study indicated that most postoperative patients had anorectal function as satisfactory as that of normal control subjects. These results suggest that our modified procedure has great advantages in terms of safety and satisfactory defecatory function for the treatment of Hirschsprung's disease.