DUHAMEL OPERATION 40 YEARS AFTER - A MULTICENTRIC STUDY

The authors present the results of an international retrospective stud y evaluating the present situation in using Duhomel's technique or its modifications in the treatment of Hirschsprung's disease on the basis a series of 2430 patients. After evaluation of all important criteria and discussion with data from the literature it is concluded that the technique is simple, fast, less shocking, logical, reliable, respecti ng the rectal anatomy and physiology, ingenious in its principle, with out serious complications. The rectum is preserved in place with all i ts vascular drainage and innervation. This technique can be performed by every sufficiently experienced surgeon.