| ORIGINAL ARTICLE
|Year : 2011 | Volume
| Issue : 1 | Page : 8-10
Laparoscopy-assisted hydrostatic in situ reduction of intussusception: A reasonable alternative?
V. V. S. S. Chandrasekharam, Suhasini Gazula, Rajendra Prasad Gorthi
Department of Paediatric Surgery, Gandhi Medical College and Hospital, Hyderabad, Andhra Pradesh, India
Aim: To evaluate an alternative way of reducing intussusceptions under laparoscopic guidance. Materials and Methods: This is a retrospective observational study of children who underwent laparoscopy-assisted hydrostatic in situ reduction of intussusceptions (LAHIRI). Under general anesthesia with laparoscopic vision, warm saline was infused into the rectum with a 16-18 F Foley catheter and a drip set till the intussusception was reduced. Results: Eleven patients [age 7.8 (±2.8) months] were operated over a period of 1 year. Ten (90.9%) patients had ileocolic intussusception, which got completely reduced, but one (9%) had ileo-ileocolic intusussception, in whom manual reduction by extending the subumbilical incision was required to reduce the ileoileal part. The mean duration of surgery was 38.5 (±6.6) min. No patient had bowel ischemia and there were no intra- or postoperative complications. Conclusions: LAHIRI appears to be an effective and safe technique in children. Specific advantages are that it is performed in a controlled environment in the operating room, avoids patient apprehension and discomfort, avoids bowel handling, provides a safe opportunity to create higher intraluminal pressure, ensures visual assessment of bowel vascularity and completeness of reduction.
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Source of Support: None, Conflict of Interest: None
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