{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T06:59:12Z","timestamp":1778223552975,"version":"3.51.4"},"reference-count":32,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Reports"],"abstract":"<jats:p>Background: Advancements in surgical management in a single-stage procedure made intraoperative frozen section biopsies critical for determining of level of resection to avoid the potential risk of leaving a retained aganglionic segment. However, in most low-income countries, due to the lack of this facility, the surgeon\u2019s intraoperative judgment is used for the determination of the resection level. Objective: This study aims to evaluate the accuracy of determining the level of bowel resection in short-segment Hirschsprung\u2019s disease based on macroscopic changes. Materials and methods: Intraoperative macroscopic evaluations were assessed using postoperative microscopic findings to determine whether the surgeons\u2019 intraoperative judgments were accurate in determining the level of bowel resection in 60 cases of operated short-segment Hirschsprung\u2019s disease. In addition, Pearson\u2019s correlation coefficient was used to determine whether the sensitivity and specificity of both methods were significantly correlated. Results: The microscopic results showed that the level of resection based on the macroscopic evaluation was performed in normally ganglionated segment in cases of short-segment Hirschsprung\u2019s disease. Conclusions: Macroscopic intraoperative assessment by an experienced surgeon is highly accurate method of determining the level of bowel resection in short-segment HSCR.<\/jats:p>","DOI":"10.3390\/pediatric16030045","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T06:51:53Z","timestamp":1719557513000},"page":"542-550","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Is It Safe to Operate without Frozen Section Biopsies in Short-Segment Hirschsprung\u2019s Disease? An Overview of 60 Cases"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8748-1382","authenticated-orcid":false,"given":"Isber","family":"Ademaj","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, University Clinical Center of Kosovo, 10000 Pristina, Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9556-7039","authenticated-orcid":false,"given":"Nexhmi","family":"Hyseni","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Clinical Center of Kosovo, 10000 Pristina, Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8837-5656","authenticated-orcid":false,"given":"Naser","family":"Gjonbalaj","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Clinical Center of Kosovo, 10000 Pristina, Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1007\/s00247-004-1292-7","article-title":"Does the transition zone reliably delineate aganglionic bowel in Hirschsprung\u2019s disease?","volume":"34","author":"Jamieson","year":"2004","journal-title":"Pediatr. 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