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Also, histopathological features of acute inflammation were more prevalent in examined specimens from group B. CONCLUSION Several histopathological features of the examined bowel specimens in HD, other than presence or absence of ganglion cells, are indicative of postoperative functional outcome. These include the thickness and maturity of nerve bundles, in addition to the presence of histopathological features of acute inflammation. LEVEL OF EVIDENCE This is a case control study (level III evidence). BACKGROUND AND OBJECTIVE Aspiratio