Stone's enterostomy crushing clamp for modified Duhamel's procedure.

AIM

To evaluate the safety and advantages of the use of Stone's enterostomy crushing clamps in modified Duhamel procedure.

MATERIAL AND METHODS

Prospective study at a tertiary care paediatric surgery centre between February 1994 through February 1998 involving all cases undergoing modified Duhamel procedure for Hirschsprung's disease.

RESULTS

Twenty eight patients, ranging from 5 months to 14 years were included in the study. The clamp was found to be easier to apply, needed no extra pelvic dissection and there were no immediate or delayed complications. The children were more comfortable and could be mobilized out of bed sooner post-operatively. It is a much cheaper option than staplers.

CONCLUSION

The Stone's enterostomy crushing clamp is a reasonably cheap, reusable, safe and effective alternative for the Kocher's clamp and stapling devices for modified Duhamel procedure.