Meckel’s diverticulum excision techniques

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

"A segmental resection of the diverticulum and adjacent ileum should be performed if the patient is presenting with bleeding to ensure removal of all ectopic mucosa and the bleeding ileal ulcer"

"In the case of an incidentally found MD or if the patient is not presenting with bleeding or perforation, then a diverticulectomy may be performed by either a wedge resection (Fig. 31.4) with a hand-sewn anastomosis or a tangential diverticulectomy using a stapler (Fig. 31.5), taking care not to narrow the lumen."

"Although the majority of the ectopic mucosa is found at the tip of the diverticulum, there is the risk of potentially leaving remnant ectopic mucosa behind in the ileum when a tangential stapled resection is performed [35, 36]. This technique of MD resection is especially discouraged in patients presenting with bleeding or perforation and, therefore, a segmental resection of the MD and 2–3 cm of ileum to each side is frequently recommended"