Clinical Study of Hirschsprung Disease and Long- Term Outcome of Duhamel?s Pull-Through

Background: Duhamel's Pull Through (DP)is one of the established surgeries described for Hirschsprung's disease (HD).It is the most common procedure for HD at our hospital.Objective: Clinical Study and analysis of the results, complications, and follow-up of DP in patients of HD at a tertiary care centre.Materials and Methods: 29 patients has been selected.Medical records of 29 patients who had undergone DP for HD at a tertiary care institute were obtained.These patients were followed in the outpatient's department to see any complications.This data were used to critically analyse this operative method and its results.Results: Ureter injury (3%), burst abdomen (7%), fecal fistulae (3%), perianal excoriation (3%), parastomal hernia (3%), Soiling (38%), bleeding PR (3%), fecal incontinence (9%), loose motion (35%), urinary incontinence (3%) and constipation (12%) were some complications observed in this study.Most of these complications were successfully managed.Conclusions: Staged DP done after an initial colostomy has good results and is being done in all cases of megacolon with constipation.Post-operative complications can usually be managed successfully leading to a significant improvement in the quality of life.