LAHRI: Laparoscopic-Assisted Hydrostatic Reduction of Intussusception

Geltzeiler, Cristina B.; Sims, Thomas L.; Zigman, Andrew

doi:10.1089/lap.2014.0283

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…In this survey, we did hydrostatic reduction three times (if required) for all patients before surgery to select surgical intussusceptions. [10][11][12][13] We performed another hydrostatic reduction on the operation table under the guidance of laparoscopic exploration. In intra-operative reduction, all attempts were unsuccessful.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic and open surgery methods in managing surgical intussusceptions: A randomized clinical trial of postoperative complications

Jamshidi

Rahimi

Gilani

2021

Asian J Endoscop Surgery

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Purpose: To compare postoperative complications of laparoscopic surgery (LS) with open surgery (OS) in surgical intussusception patients.Methods: From March 2015 to February 2018, infants between 6 to 24 months old had the clinical and sono-graphical signs of intussusception enrolled in this double-blind, randomized clinical trial. We divided surgical intussusception patients into two groups. In the LS group, we evaluated patients by direct laparoscopic observation, on-table hydrostatic enema, and mechanical reduction of intussusception. In the OS group, we performed the conventional technique. These patients were followed for 2 years after procedures for comparison of postoperative complications between the two groups.Results: We had 52 patients who needed surgical exploration (26 in each group). There were four (15%) and seven (27%) patients with self-reduced intussusception in LS and OS groups, respectively. The conversion rate was 31% (eight cases). Five cases (19%) in the LS group and four cases (15%) in the OS group needed bowel resections. Operating time was longer in the LS group (P ≤ 0.006), and the postoperative complication rate was higher in the OS group (P ≤ 0.021). Discussion: Laparoscopy is a screening tool to determine the need for OS in surgical intussusception patients. Laparoscopy reduces the incidence of OS and its complications.

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Section: Discussionmentioning

confidence: 99%

“…In the remainder, minilaparotomy and manipulation were required. 12 Song et al were unsuccessful in reducing any patient on the operation table by air reduction during laparoscopy. 13 In one patient, after laparoscopy, we noticed perforated appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic and open surgery methods in managing surgical intussusceptions: A randomized clinical trial of postoperative complications

Jamshidi

Rahimi

Gilani

2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…The drawbacks of conservative treatment are reduction failure in 20% of the cases, risk of perforation, radiation load, higher rate of recurrence than that with operative treatment, and oversight of the potential leading point. Laparoscopic-assisted hydrostatic reduction might play a role in nonreducible cases (2). Standard surgery offers least recurrence rate along with an option for immediate resection in cases of perforation and bowel necrosis or when the leading point is identified.…”

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confidence: 99%