Intussusception treatment in children. Single center experience

Abstract

Studying the treatment of 822 children diagnosed with intussusception from 1995 to 2013 in the Regional Clinic Children's Hospital of Dnepropetrovsk. From 1995 to 2007, 576 children took a cure. In 506 (87.8%) cases, classic conservative reduction with air was successful. Laparotomy was applied in 70 (12.2%) cases. For 22 children intestine was not viable and excision was executed. Forty-eight patients had surgical reductions. In connection with the analysis results, we have been using laparoscopy more widely since 2008. From 2008 to 2013, there were 246 patients with intussuscept. For 204 (82.9%) children non-operative reduction seceded. After unsuccessful non-operative reduction, 42 (17.1%) children received one more laparoscopic assisted reduction. In 25 (59.5%) cases, an intestine was found viable. In 11 (26.2%) cases after the reduction, laparoscopic examination showed intestine necrosis. In six (14.3%) cases, intussusceptum was caused by the Meckel's diverticulum. In all the 17 cases laparoscopic assisted excision of the Meckel's diverticulum or nonviable intestine was performed. When non-operative reduction fails a succeeding laparoscopic assisted intussusception combined with pneumocolon is optimal to provide a good treatment result.