caa a22 4500 477068081 CHVBK 20180405111418.0 cr unu---uuuuu 170330e19961101xx s 000 0 eng 10.1007/BF02730919 doi (NATIONALLICENCE)springer-10.1007/BF02730919 Role of extramucosal seromuscular biopsy during preliminary fecal diversion in the management of Hirschsprung's disease [Elektronische Daten] [R. Kataria, V. Bhatnagar, Meera Mathur, D. Mitra] The routine use of frozen section biopsy to identify distal ganglionic bowel in Hirschsprung's disease is the accepted norm in well developed centres. With the aim of overcoming non-availability of frozen section biopsy and reducing the duration of definitive surgery, an alternative algorithm, based on extramucosal seromuscular biopsy at the time of preliminary fecal diversion and its examination by routine paraffin sections and staining,.was developed and used in 100 patients at our centre. This technique accurately marked the ganglionic colon for pull-through operation in 96.2% of cases with rectosigmoid transition zone and in 91.7% of those with transition zone in the descending colon, thus obviating the need for frozen section biopsy and saving nearly one hour during the pull-through surgery. However, in the more proximal varieties of Hirschsprung's disease frozen section biopsy was still considered to be indispensable. Dr. K C Chaudhuri Foundation, 1996 Hirschsprung's disease nationallicence Frozen section bioosv nationallicence Extramucosal seromuscular biopsy nationallicence Kataria R. The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut Bhatnagar V. The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut Mathur Meera The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut Mitra D. The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut The Indian Journal of Pediatrics Springer India 63/6(1996-11-01), 731-735 0019-5456 63:6<731 1996 63 12098 https://doi.org/10.1007/BF02730919 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02730919 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kataria R. The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut NATIONALLICENCE 700 1- Bhatnagar V. The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut NATIONALLICENCE 700 1- Mathur Meera The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut NATIONALLICENCE 700 1- Mitra D. The Department of Pediatric Surgery, All India Institute of Medical Sciences, 110 029, New Delhi aut NATIONALLICENCE 773 0- The Indian Journal of Pediatrics Springer India 63/6(1996-11-01), 731-735 0019-5456 63:6<731 1996 63 12098 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer