Safety and Feasibility of Laparoscopic Reduction of Intussusception in Infants and Children After Failure of Pneumatic Reduction | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 5, May 2025, Pages 227-232 PDF (357.91 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446583 | ||
| Authors | ||
| Ashraf Hamid1; Mohamed Abdelmaboud* 1; Mohamed Abol wafa2; Abdullah Rabie1 | ||
| 1Department of pediatric surgery, faculty of medicine, Al-Azhar university, Cairo, Egypt | ||
| 2Department of radiology, faculty of medicine, Al-Azhar university, Cairo, Egypt | ||
| Abstract | ||
| Background: One of the most frequent reasons why children have intestinal obstruction is intussusception. The rate of success for pneumatic reduction is high. Pneumatic reduction failure is most frequently caused by the existence of a pathological leading point. There is still debate regarding laparoscopy after unsuccessful pneumatic reduction. Aim: To assess laparoscopy's safety and viability following a failed pneumatic reduction of intussusception. Patients and method: This prospective study was conducted on children and infants who had non-complicated intussusception. Over the course of a year, from July 2023 to June 2024, it was carried out at the pediatric surgical department at Al-Azhar University Hospitals. The patients were managed with pneumatic reduction. Then, after a failed reduction, laparoscopy was decided. The study collected data encompassing patient profiles, preoperative and operative variables, early postoperative complications, duration of hospitalization, and the length of the follow-up period. Results: Twenty patients with an average age of 9.65 ± 3.44 months were involved in the study. There were nine females (45%) and eleven males (55%) with a mean body weight of 9.65 ± 3.44 kg. Ileocolic intussusception was found in 11 cases (55%), ileocecal intussusception in 7 cases (35%), and negative exploration in 2 cases (10%) during laparoscopic exploration. After surgery, the average time to begin oral feeding was 1.38 ± 0.79 days. Hospital stays lasted an average of 2.44 ± 1.21 days. Conclusion: With a comparatively short operating time and hospital stay, laparoscopy after unsuccessful pneumatic reduction for pediatric intussusception may be a safe and practical choice. | ||
| Keywords | ||
| Laparoscopy; Pneumatic reduction; Intussusception; Children | ||
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