Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive Care2219-40612587-6554Eco-Vector150410.17816/psaic1504EditorialCommentary 1 on the article “Primary intestinal anastomosis in a child with perforation of Meckel's diverticulum and peritonitis”TsapNatalya A.<p>MD, Dr. Sci. (Med.), professor</p>tsapna-ekat@rambler.ruhttps://orcid.org/0000-0001-9050-3629Ural State Medical UniversityChildren’s Clinical Hospital No. 9100520231311131172102202306032023Copyright © 2023, Eco-Vector2023<p>Commentary on the article Morozov KD, Sharkov SM, Kozlov MYu, Mordvin PA, Ayrapetyan MI, Morozov DA Primary intestinal anastomosis in a child with perforation of Meckels diverticulum and peritonitis published in the Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2023;13(1):105112. (In Russ.) DOI: <a href="https://doi.org/10.17816/psaic1498">https://doi.org/10.17816/psaic1498</a></p>
<p>After reading the article under discussion, serious doubts were raised about the presence of diffuse peritonitis (there was no typical response of the body to a severe inflammatory process in the abdominal cavity), and the mild course of diffuse peritonitis in surgical practice is unknown. Primary intestinal anastomosis in peritonitis cannot be recommended for pediatric surgeons to present its wide introduction in clinical practice.</p>abdominal surgeryperitonitisintestinal anastomosischildrenабдоминальная хирургияперитониткишечный анастомоздети[Morozov KD, Sharkov SМ, Kozlov MYu, et al. Primary intestinal anastomosis in a child with perforation of Meckel’s diverticulum and peritonitis. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2023;13(1):105–112. (In Russ.) DOI: 10.17816/psaic1498][Morozov KD, Morozova OL, Severgina LO, et al. The causes of intestinal anastomotic leakage in experimental peritonitis. Novosti Khirurgii. 2021;29(2):137–145. (In Russ.) DOI: 10.18484/2305-0047.2021.2.137][Zhuk IG, Salmin RM, Gaiduk AV, et al. Methods of intestinal anastomotic dehiscence prophylaxis (review). Journal of the Grodno State medical university. 2010;(1):3–6. (In Russ.)][Gorskiy VA, Agapov MA, Klimov AE, Andreev SS. The problem of consistency of intestinal seam. Practical medicine. 2014;(5):33–36. (In Russ.)][Rossiiskaya assotsiatsiya detskikh khirurgov. Divertikul podvzdoshnoi kishki (divertikul Mekkelya). Razumovskii A.Yu., editor. Detskaya khirurgiya: natsionalnoe rukovodstvo. 2nd ed. Moscow: GEHOTAR-Media, 2021. P. 197–201. (In Russ.)]