Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2001  |  Volume : 6  |  Issue : 3  |  Page : 72--76

Failure of modified dhumel俟Q製 operation. The lower anal incision : the crux of the problem


D Kittur, S. Jadhav 
 Ankur Hospital for Children, 1666/ E 10th lane Rajarampuri, Kolhapur 416001 (Mah), India

Correspondence Address:
D Kittur
Ankur Hospital for Children, 1666/ E 10th lane Rajarampuri, Kolhapur 416001 (Mah)
India

ABSTRACT: About 20 percent of patients who have had Modified Duhamel俟Q製 Operation for Hirschsprung俟Q製 Disease (HD), have recurrence of symptoms like incomplete evacuation, fecaloma formation and/or repeated gaseous distension. The cause of these symptoms could be anything from retained aganglionic segment, inadequately divided internal sphincter, to rectal inertia. The authors have analyzed 2 groups of patients (Total No 66) who have been investigated and treated on similar lines but differed only at the site of the lower anal incision. In Group A (26 patients) the lower anal incision was 1 cm above the mucocutaneus junction, whereas in Group B (40 patients), the incision was made at the muco-cutaneus junction. The patients in Group B had no recurrence of symptoms. The authors conclude that if one analyses the failure of Duhamel俟Q製 operation for HD where diagnosis and treatment are comparable, the crux of the problem lies with the site of the lower anal incision. The anal incision at the muco-cutaneus junction during the modified Duhamel俟Q製 operation gives better long term results.


How to cite this article:
Kittur D, Jadhav S. Failure of modified dhumel's operation. The lower anal incision : the crux of the problem.J Indian Assoc Pediatr Surg 2001;6:72-76


How to cite this URL:
Kittur D, Jadhav S. Failure of modified dhumel's operation. The lower anal incision : the crux of the problem. J Indian Assoc Pediatr Surg [serial online] 2001 [cited 2022 Aug 7 ];6:72-76
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2001;volume=6;issue=3;spage=72;epage=76;aulast=Kittur;type=0