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Intussusception in infancy and childhood. A 13-year review of 75 patients
Insights
This study reviewed 75 intussusception cases, finding a 40-hour average symptom duration. Laparotomy showed no mortality, with wound infection as the main complication, and incidental appendicectomy was safe.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Intussusception is a common surgical emergency in children.
- Timely diagnosis and treatment are crucial for favorable outcomes.
Purpose of the Study:
- To review the surgical experience with intussusception in 75 patients.
- To evaluate the efficacy of barium enema reduction and the safety of incidental appendicectomy.
Main Methods:
- Retrospective review of 75 patients diagnosed with intussusception.
- Analysis of symptom duration, diagnostic methods, treatment interventions, and complications.
- Evaluation of outcomes following laparotomy and incidental appendicectomy.
Main Results:
- Average symptom duration to diagnosis was 40 hours.
- Barium enema successfully reduced intussusception in only 6 out of 34 patients.
- Seventy-one laparotomies were performed with zero mortality.
- Wound infection was the most common complication (8 patients).
- Incidental appendicectomy did not increase the complication rate.
Conclusions:
- Laparotomy is a safe and effective treatment for intussusception, even in complex cases.
- Hydrostatic reduction with barium enema has limited success.
- Incidental appendicectomy can be safely performed during laparotomy for intussusception.
Abstract:
Our experience of intussusception in 75 patients has been reviewed. The average duration of symptoms from onset to diagnosis was 40 hours. Barium enema was performed in 34 patients and in only six was the intussusception reduced successfully by hydrostatic pressure. Seventy-one laparotomies were performed with no mortality. Resection was carried out in seven patients for gangrenous bowel or presence of a leading point. The main complication was that of wound infection which occurred in eight patients. Incidental appendicectomy was safe and did not increase the complication rate.
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