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SURGICAL TACTICS FOR TREATING CHILDREN WITH MECKEL'S DIVERTICULUM

Cherkasov Mikhail Fedorovich  (MD, PhD, Professor, Head of the Department of Surgery No. 4)

Babich Igor Ivanovich  (Doctor of Medical Sciences, Professor, Professor of the Department of Surgery No. 4 of the Rostov State Medical University)

Melnikov Yuri Nikolaevich  (PhD, assistant at the Department of Surgery No. 4, Rostov State Medical University)

Minaev Sergey Viktorovich  (Doctor of Medical Sciences, Professor, Head of the Department of Pediatric Surgery with a course of additional professional training, Stavropol State Medical University)

Lukash Yulia Valentinovna  (Candidate of Medical Sciences, Associate Professor of the Department of Pediatric Surgery and Orthopedics, Rostov State Medical University)

Katsoupeev Valery Borisovich  (MD, Associate Professor of the Department of Pediatric Surgery and Orthopedics, Rostov State Medical University, Head of the Department of Pediatric Surgery at City Clinical Hospital No. 20, Rostov-on-Don)

Novoshinov Gleb Valerievich  (Head of the Department of Pediatric Surgery at the Regional Children's Clinical Hospital, Rostov-on-Don)

Meckel's diverticulum is an ileal diverticulum, which is a remnant of an incompletely reduced vitelline stalk and is the most common congenital anomaly of the gastrointestinal tract. In the vast majority of cases, Meckel's diverticulum is detected in young children under 2 years of age. The goal of the work is to improve the results of treatment of patients with Meckel's diverticulum through the use of circular paraumbilical access and the formation of extraperitoneal anastomosis. In the pediatric surgery clinic of the Rostov State Medical University on the basis of the State Budgetary Institution RO “CSCH,” there were 43 patients operated on for urgent indications for various complicated forms of Meckel’s diverticulum. The use of circular paraumbilical access has significantly improved the results of treatment of patients with complicated forms of Meckel's diverticulum, namely, reduced the duration of the operation by 15.5%, eliminated the risk of postoperative complications, reduced the time for transition to enteral nutrition by 21.6%, and reduced the overall time hospitalization by 10.4%, achieve a high cosmetic effect.

Keywords:Meckel's diverticulum, intestinal anastomosis, intestinal bleeding, paraumbilical access

 

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Citation link:
Cherkasov M. F., Babich I. I., Melnikov Y. N., Minaev S. V., Lukash Y. V., Katsoupeev V. B., Novoshinov G. V. SURGICAL TACTICS FOR TREATING CHILDREN WITH MECKEL'S DIVERTICULUM // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№12/2. -С. 97-99 DOI 10.37882/2223-2966.2024.12-2.18
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