An extremely wealthy group of private businessmen in Russia…
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An extremely weаlthy grоup оf privаte businessmen in Russiа whо are well connected politically and powerful are the
The pаtient is а 21-dаy-оld male whо is admitted tо the hospital for treatment of Hirschsprung’s disease diagnosed by a rectal biopsy three days ago that showed no ganglion cells. He is brought to the operating room where general anesthesia is induced and a left lower quadrant oblique incision was made. Dissection continued with electrocautery until the peritoneal cavity was entered. A stool-filled sigmoid colon was identified and delivered into the wound. A small biopsy was taken from the sigmoid portion of the bowel and sent for frozen section. This was returned normal with normal numbers of ganglion cells. The colon was then tacked to the fascia and peritoneum using interrupted 4-0 silk suture. A #12 red-rubber catheter was placed through the mesentery of the colon and looped upon itself and sutured with 2-0 silk. The colostomy of the sigmoid colon was then opened using electrocautery and both the limbs were found to be widely patent through the fascia. The colostomy was brought to the cutaneous level and a colostomy bag was applied. The sponge, needle, and instrument counts were reported to be correct at the conclusion of the procedure. The child was awakened and taken to the recovery room in satisfactory condition. Principal Diagnosis: Secondary Diagnosis: Principal Procedure: Secondary Procedure: