Vilariño A, Cano I, Benavent I, Portela E, Matute J A, Delgado M D, Pertejo E M, Jiménez M A, Manzanera M, Pacheco J A
Servicio de Cirugía Pediátrica, Hospital, Madrid.
Cir Pediatr. 1995 Oct;8(4):139-41.
Hirschsprung's disease surgically treated with Duhamel's technique in which no mechanical suture has been used, usually presents, as main complication, cronic constipation, due to fecalomas in the rectal pouch. In our experience (30 cases plus four patients sent to our hospital for reintervention), this complication is not present when mechanical suture is introduced to the Duhamel's Technique. This allows us to assure that perineal rectocoloplasty, with auto-suture material is a precise optional treatment, with excellent results and allows the chance of not going through laparotomy in those cases that require reintervention.
采用杜哈梅尔技术进行手术治疗的先天性巨结肠症，若未使用机械缝合，通常会出现慢性便秘这一主要并发症，原因是直肠袋内形成粪块。根据我们的经验（30例病例加上4例转至我院进行再次干预的患者），在杜哈梅尔技术中引入机械缝合时，这种并发症不会出现。这使我们能够确定，使用自体缝合材料的会阴直肠结肠成形术是一种精确的可选治疗方法，效果极佳，并且在需要再次干预的病例中，有机会避免开腹手术。
