About surgical treatment of Meckel's diverticulum

Periodically, detailed materials on Meckel's diverticulum appear in the literature. In addition, reports on single and casuistic observations of pathological conditions caused by this congenital defect are often published in surgical journals. These materials quite well cover the issues of history and embryogenesis, the clinic of pathological conditions and their treatment; examples of various combinations of Meckel's diverticulum with other diseases, its complications, etc. are given. At the same time, the authors note difficulties, especially diagnostic ones: before surgery, Meckel's diverticulum is detected in rare cases [1], while mortality reaches 16.6–24% [ 1, 7]. All these diagnostic miscalculations are probably due to the fact that Meckel's diverticulum is quite rare. According to A. A. Rusanov [5] during the autopsy of corpses, it is found in approximately 2% of cases, and according to V. Toshovsky and O. Vikhitil [6] - in 0.3-2.3%. In practical surgery, each surgical finding of this pathology causes a lively discussion, so all reports of Meckel's diverticulum are very interesting.