%0 Journal Article
%T Laparoscopy-assisted hydrostatic in situ reduction of intussusception: A reasonable alternative?
%A Chandrasekharam V. V. S. S.
%A Gazula Suhasini
%A Gorthi Rajendra
%J Journal of Indian Association of Pediatric Surgeons
%D 2011
%I Medknow Publications
%X 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 (¡À2.8) 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 (¡À6.6) 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.
%K Hydrostatic reduction
%K intussusceptions
%K laparoscopy
%U http://www.jiaps.com/article.asp?issn=0971-9261;year=2011;volume=16;issue=1;spage=8;epage=10;aulast=Chandrasekharam