Laparoscopic-assisted pneumatic reduction of intussusception.
J Pediatr Surg
; 32(8): 1147-8, 1997 Aug.
Article
en En
| MEDLINE
| ID: mdl-9269959
The nonoperative treatment of intussusception is done by fluoroscopy, however, false-positive and negative images may lead to unnecessary operations. The aim of this study was to evaluate the feasibility of laparoscopy in pneumatic reduction. Surgical ileoileocolic intussusception was performed in 27 dogs. Sixteen dogs were observed for 3 days (group A), and 11 were observed for 5 days (group B). Laparoscopy was performed in the intussuscepted dogs during pneumatic reduction. Under general anesthesia, a 10-mm trocar was inserted supraumblically in the midline, and the laparoscope was introduced. The intussuscepted bowel was observed on the video monitor. A 5-mm trocar was inserted in the right upper quadrant. The mesentery of the terminal ileum was manipulated using grasping forceps to assist reduction. CO2 was insufflated into the rectum using a Foley catheter, and the reduction was observed on the video monitor. The success rate was 94% (mean reduction time, 2.5 minutes +/- 1.0) for group A and 100% (mean reduction time, 3.7 minutes +/- 0.8) for group B. Bowel perforation was observed in one dog, and recurrence of intussusception in another. The authors claim that observing the bowel on the video monitor may help in the differential diagnosis and reduction of difficult cases such as ileoileocolic and delayed intussusceptions. Therefore, unnecessary open surgery may be prevented.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Laparoscopía
/
Enfermedades del Íleon
/
Intususcepción
Límite:
Animals
Idioma:
En
Revista:
J Pediatr Surg
Año:
1997
Tipo del documento:
Article
País de afiliación:
Turquía
Pais de publicación:
Estados Unidos