MODIFIED DUHAMEL PROCEDURE; OUR EXPERIENCE FOR EARLY COMPLICATION AT THE CHILDREN HOSPITAL & THE INSTITUTE OF CHILD HEALTH, FAISALABAD.

Mirza, Muhammad Afzal; Askri, Mohsin Riaz; Maqbool, Shumyala; Ahmad, Sarfraz

Objectives: To evaluate the early complications of Martin's Modified Duhamel Procedure. Design: Retrospective study. Period: January 2017-December 2017. Setting: The Children Hospital & Institute of Child Health, Faisalabad. Material and Methods: This study included Eighty Six children who underwent Martin's modification of Duhamel's procedure for treatment of Hirschsprung's disease. Results: Early postoperative complications (with in 1st 30 days of operation) were observed in 86 patients. The complications noted were bleeding (n=3), wound infection (n=20), burst abdomen (n=5), anastomotic leak (n=8), intestinal obstruction (n=4), early post-operative constipation (n=6), enterocolitis (n=6), soiling (n=5) and mortality (n=2). Conclusion: Early post-operative complications in the series included bleeding, wound infection, burst abdomen, anastomotic leak, intestinal obstruction, constipation, enterocolitis, soiling and death. The complications rate in this study is comparable to the previous studies.

PAKISTAN; HOSPITALS; CHILD health services; HIRSCHSPRUNG'S disease; DIAGNOSIS

Professional Medical Journal, 2018, Vol 25, Issue 8, p1147

1024-8919

Academic Journal

10.29309/tpmj/2018.25.08.62