OBSERVATION ON DUHAMEL’S OPERATIVE THERAPY OF CONGENITAL MEGACOLON
Li JG
Zhangzhou Municipal
Hospital, Fujian, China
Objective: This
report describes Duhamel’s operative therapeutic effects of infant and
child’s congenital megacolon.
Material &
Methods: We treated 47 cases of infant & child’s congenital
megacolon with Duhamel’s operative therapy in recent 10 years. The oldest is 7 year-old, youngest
2 month-old. 11 cases of minor
type; 31 cases of general and 5 cases of major in all 47 cases with Duhamel’s
radical therapy under intravenous anesthesia. We can incise the middle
transverse colon artery and reserve marginal intestinal one for major type
of major involved cases. For
the advanced case or with intestinal enlargement and hypertrophy, we can
trim and anastomose them.
Results: None
anastonotic leakage, none death in all 39 afterwards-inquiry cases (82.9%),
anastomotic stenosis: 2 cases (5.1%), faeces contamination: 3 (7.6%)
enterocolitis 1 (2.5%), more than 5 bowel movements per day: 2 cases (5.1%).
Conclusions:
It is a good method to treat infant & child’s congenital megacolon with
Duhamel’s operative therapy and deserves popularity. It takes less operative time and
less incision, also has better effects in younger than in older one. There it is advised to treat the
case with Duhamel’s method at their earlier age.