METHOD OF TRANSANAL RESECTION OF RECTUM IN CONGENITAL MEGACOLON IN CHILDREN

摘要

FIELD: medicine. ^ SUBSTANCE: tension sutures are applied on an anorectal region circumferentially with covering a rectum wall 1.5-2.0 cm above a pectineal line and a perianal skin at 2 cm away from an edge of anus; when knotting, a duplication of an inferior ampullary rectus and perianal skin is created. The mobilised intestine is cut off with an ultrasonic scalpel. A rectoanal or coloanal anastomosis is formed. The tension sutures are removed. ^ EFFECT: method allows to reduce operative injures and the risk of postoperative development of interior sphincter muscle hypertonus. ^ 1 ex, 2 dwg