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.

BACKGROUND Hypospadias is the commonest paediatric urological condition with an incidence of 1 in 125 male children. The condition can be easily recognized by the attending neonatologist/ paediatrician in the neonatal period. The ideal time for urethral reconstruction is at one year of age and all the staged repairs are to be completed by the time the child goes to school. METHODS We wanted to study the clinical features and outcome of hypospadias cases in the paediatric age group. Children with hypospadias in the age group of 1-10 years are taken up for the study. 51 children were admitted for hypospadias repair with Proximal as well as Distal hypospadias. They were surgically reconstructed with time tested procedures. These children are observed and are on regular follow up for 6 months in the post-operative period. RESULTS 46 new and 5 redo hypospadias repairs were done from January 2017 to August 2018 with 6 months post-operative follow up till February 2019. Satisfactory surgical outcome was achieved with an acceptable complication rate of 9 percent and 20 percent for fresh and redo hypospadias cases respectively.

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