a_clinical_pearl Management of incidental Meckel's diverticulum

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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"Park et al., found that certain characteristics may be predictive for the development of complications and recommended diverticulectomy of incidental diverticula that meet any of the following four criteria: (1) male sex, (2) age less than 50 years, (3) diverticular length greater than 2 cm, and (4) abnormal features of the diverticula such as thickened tissue or a palpable mass [14]. Other studies have also recommended prophylactic resection if there is a narrow diverticular base [30]. At this time, most pediatric surgeons will perform a resection of an incidentally identified MD if it does not significantly increase the risk of the primary procedure."

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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"Even in the cases of incidentally found MD, there is controversy as to the recommended surgical procedure. Sarli et al. recommend tangential resection if the MD is asymptomatic/uncomplicated and the diverticulum is not broad based or short, but suggest that all specimens should be inspected after removal to ensure there is no ectopic tissue at the resection margin [40]. A short diverticulum is defined as one that is less than twice the length of the base [37]. At this time, most surgeons will perform a tangential resection for uncomplicated MD."