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.

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