Duhamel Procedure

Abstract

This chapter describes the Duhamel Procedure as performed by open or laparoscopic approach. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in the technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: exploration by laparotomy or laparoscopy, confirmation of extent of disease, colonic mobilization, resection of the aganglionic segment, pull-through of normal bowel at the posterior rectal wall, anastomosis, and abdominal closure.