Casasa J M, Boix-Ochoa J, Blanco A
An Esp Pediatr. 1981 Nov;15(5):455-62.
Eleven cases of total colic aganglionism are presented in a series of 130 patients with Hirschsprung's disease. Five patients survived, four were operated according to the Duhamel-Roviralta technique and the fifth according to the simpre procedure of Duhamel. Two others, also operated using the Duhamel-Roviralta technique died, one in the immediate postoperatory period and the other at three months due to hepatitis. The four remaining cases died, two after having effected the ileostomy and two due to the inability of applying an immediate solution because the results of the biopsies were lacking. Death was due to septic processes in the immediate postoperatory period. Advantages of the Duhamel-Roviralta operation makes it the selected technique for the greater part of cases, due to its' quickness and simplicity.