{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:14:20Z","timestamp":1769066060425,"version":"3.49.0"},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cir. Bras."],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:p>PURPOSE: To evaluate fecal continence, anorectal manometry (AM) and profilometry (P), in patients operated for congenital megacolon, using either the modified Duhamel technique (MDT) or the modified transanal rectosigmoidectomy (MTR) technique. METHODS: 42 patients were evaluated clinically and via AM and P, for postoperative control. The resting, coughing, voluntary contraction, maintained voluntary contraction and perianal stimulation pressures were investigated. The rectosphincteric reflex was tested and the simple and enhanced pressure curves were evaluated. The three-dimensional profilometric outline was produced. Student's t, chi-squared and Fisher's exact tests were used for statistical analysis (p&lt;0.05). RESULTS: AM showed mean resting pressures of 53.44 mmHg for MDT and 60.67 mmHg for MTR, and mean voluntary contraction pressures of 94.50 mmHg for MDT and 95.47 mmHg for MTR. There was no statistical difference between the groups. The shapes of the simple and enhanced pressure curves did not present any statistical difference, independent of the surgical technique used. CONCLUSION: The two surgical techniques were equivalent. MDT caused greater incidence of postoperative constipation that MTR did. AM and P were shown to be excellent tests for postoperative follow-up among these patients.<\/jats:p>","DOI":"10.1590\/s0102-86502009000500014","type":"journal-article","created":{"date-parts":[[2009,10,22]],"date-time":"2009-10-22T02:57:03Z","timestamp":1256180223000},"page":"416-422","source":"Crossref","is-referenced-by-count":17,"title":["Clinical, manometric and profilometric evaluation after surgery for Hirschsprung's disease: comparison between the modified Duhamel and the transanal rectosigmoidectomy techniques"],"prefix":"10.1590","volume":"24","author":[{"given":"Elaine Cristina Soares","family":"Martins","sequence":"first","affiliation":[{"name":"UNIFESP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e1bio Luis","family":"Peterlini","sequence":"additional","affiliation":[{"name":"UNIFESP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djalma Jos\u00e9","family":"Fagundes","sequence":"additional","affiliation":[{"name":"UNIFESP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Luiz","family":"Martins","sequence":"additional","affiliation":[{"name":"UNIFESP,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"7","key":"ref1","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1016\/S0022-3468(03)00189-1","article-title":"Modified transanal rectosigmoidectomy for Hirschsprung's disease: clinical and manometric results in the initial 20 cases","volume":"38","author":"Peterlini FL","year":"2003","journal-title":"J Pediatr Surg."},{"key":"ref2","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/BF02616871","article-title":"Retrorectal and transanal pull-through procedure for the treatment of Hirschsprung's disease","volume":"7","author":"Duhamel B","year":"1964","journal-title":"Dis Colon 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