Modified duhamel operation using a newly designed crushing clamp

ABSTRACT

Using a newly-designed crushing clamp, modified Duhamel Operation [MDO] was performed in 15 children aged between 2 to 8 years with Hirschsprung's disease. Post-operative recovery was uneventful in all patients. No clamp-related complication was observed. Complete bed rest was not necessary for more than 3-4 days. The clamp was passed spontaneously 8-11 days after operation. Endoscopy 3-4 weeks later did not reveal any colo-rectal septum in the neo-rectum in any patient. Performing MDO using this instrument is convenient to the patient. More importantly, with equal efficacy, it is more cost-effective as compared to the currently used GIA stapler