Primary Duhamel-Martin operations in neonates and infants

Simple item page
dc.contributor.authorMir E.
dc.contributor.authorKaraca I.
dc.contributor.authorGünsar C.
dc.contributor.authorSencan A.
dc.contributor.authorFesçekoǧlu O.
dc.date.accessioned2024-07-22T08:25:29Z
dc.date.available2024-07-22T08:25:29Z
dc.date.issued2001
dc.description.abstractBackground: With advances in neonatal anesthetic and surgical care, a safe, one stage, definitive procedure has been possible in Hirschsprung's disease. Since 1996, we have performed this type of operation in the neonatal and early infancy period. We aimed to review our data to state the feasibility of this operation in these age groups. Methods: At Dr Behçet Uz Children's Hospital, we treated 10 patients with a single stage Duhamel-Martin operation between 1996 and 2000. Of the 10 patients, seven were boys. Six patients were diagnosed in the first week of the neonatal period. We evaluated these 10 patients by means of age, sex, age at diagnoses, operational age, diagnostic tools, properties of operation, complications and results. Results: The patients were all full-term delivery and had a mean birthweight of 3 kg. The presenting clinical features were abdominal distention (100%), constipation (100%) and vomiting (70%). One patient was a Down syndrome patient, while another patient showed familial Hirschsprung's disease. Contrast enemas gave positive results in eight patients. Definitive diagnoses were performed with rectal biopsy specimens. The extension of the disease was rectosigmoid in nine patients and descending colon in one patient. Five patients were in the newborn period at the time of the operation, while the oldest one was 7 months old. In the postoperative period, two children were treated because of early abdominal eventration and evisceration of the wound. Postoperative enterocolitis occurred in two patients. These 10 patients have been followed-up for a period of 3 years, and spontaneous defecation and weight gain was observed in all of the patients. Conclusions: Our study confirmed the published data that this operation could be performed as an easy and safe procedure in the neonatal and early infancy period.
dc.identifier.DOI-ID10.1046/j.1442-200X.2001.01409.x
dc.identifier.issn13288067
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20455
dc.language.isoEnglish
dc.subjectDigestive System Surgical Procedures
dc.subjectFemale
dc.subjectHirschsprung Disease
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectMale
dc.subjectRetrospective Studies
dc.subjectSurgical Stapling
dc.subjectabdominal distension
dc.subjectarticle
dc.subjectclinical article
dc.subjectconstipation
dc.subjectevisceration
dc.subjectfemale
dc.subjectHirschsprung disease
dc.subjecthuman
dc.subjectinfant
dc.subjectmale
dc.subjectnewborn
dc.subjectnewborn period
dc.subjectpediatric surgery
dc.subjectpostoperative complication
dc.subjectpriority journal
dc.subjectpull through operation
dc.subjectrectum biopsy
dc.subjectstapler
dc.subjectsurgical technique
dc.subjectvomiting
dc.titlePrimary Duhamel-Martin operations in neonates and infants
dc.typeArticle

Files

Collections

Scopus Koleksiyonu