ЗНАЧЕНИЕ ИНТРАОПЕРАЦИОННОЙ ЭКСПРЕСС-БИОПСИИ В ОПРЕДЕЛЕНИИ УРОВНЯ РЕЗЕКЦИИ ТОЛСТОЙ КИШКИ ПРИ ХИРУРГИЧЕСКОМ ЛЕЧЕНИИ БОЛЕЗНИ ГИРШПРУНГА

Abstract

Introduction. Hirschsprung's disease is a congenital malformation characterized by the absence of intramural ganglia in the intestinal wall. The goals of the surgical treatment of HD are to remove the aganglionic segment of the intestine and restore the patency of the gastrointestinal tract, bringing down the normally innervated intestine to the anus while maintaining the function of the sphincters. An incorrect determination of the length of the affected segment of the colon can lead to non-radical surgical treatment with a persistent aganglionic zone. The use of an intraoperative express biopsy to determine the resection area during radical surgery will help to solve this problem. Purpose: determination of the level of agangliosis of the colon in the surgical treatment of Hirschsprung's disease. Methods: From 2010 to 2019, 49 patients aged 3 weeks to 16 years underwent an intraoperative express biopsy to determine the area of bowel resection. The use of intraoperative express biopsy made it possible to objectively and reliably determine the area of bowel resection, to reduce the number of complications associated with errors in resection of the aganglionic segment. Conclusion. When performing radical surgery for Hirschsprung's disease, an intraoperative express biopsy is required to determine the level of coloanal anastomosis in order to avoid errors in determining the aganglionic region and the transitional zone of the intestine.