Open AccessDiagnosis and treatment of complicated Meckel’s diverticulum.
Author(s) -
В. М. Тимербулатов,
М. В. Тимербулатов,
D. I. Mechdiev,
Ш. В. Тимербулатов,
I. S. Bikovski,
И Р Габидуллин
Publication year - 2018
Publication title -
kliničeskaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2412-1339
pISSN - 0023-2149
DOI - 10.18821/0023-2149-2017-95-11-1013-1017
Subject(s) - medicine , laparotomy , laparoscopy , diverticulitis , meckel's diverticulum , diverticulum (mollusc) , peritonitis , bowel obstruction , incidence (geometry) , endoscopy , surgery , population , general surgery , physics , environmental health , optics
Meckel’s diverticulum (MD) is relatively rare, although frequent anomaly of the digestive tract, as a rule, in the event of complications or incidentally at laparotomy, laparoscopy, contrast study of the bowel. Aim - to examine the results of diagnosis and treatment of complicated forms of MD. Material and methods. It was a prospective non-randomized study of 77 patients with complicated forms of MD, including 30 adults and 47 children. The ratio of males and females in adult patients were 2,3:1, and 8,4:1 in children. The incidence of complicated forms in adults was 0,61 per 100,000 adult, 6,6 per 100,000 child population. The study was used clinical, laparotomy methods, ultrasound examination, CT, endoscopy, laparoscopy. Results. Diagnostic methods can identify complications (often diverticulitis, intestinal obstruction, peritonitis), and source-cause of complications is established by laparoscopy or laparotomy. Videolaparoscopic operations (diverticulectomy) made of 35%, the option of surgical intervention depended on the size of the diverticulum, the severity of degradation and prevalence of the inflammatory process in the wall ileum. Postoperative complications were 6,49% of patients, there were no cases mortality.