Authors: YuTang Chang JuiYing Lee JawYuan Wang ChiShu Chiou JanYou Lin
Publish Date: 2008/06/05
Volume: 23, Issue: 9, Pages: 2001-2004
Abstract
The risks of subsequent episodes and a lead point are common problems in ileocolic intussusception with more than two recurrences To decrease subsequent recurrence and to detect a lead point an early laparoscopy was performed for children with ileocolic intussusceptionThis study enrolled six children with multiple recurrences of ileocolic intussusception from January 2004 to August 2007 Using a 5mm laparoscope and two additional transabdominal wall stab incisions an appendectomy and an ileocolonic pixie with nonabsorbable sutures were performed simultaneously for all the children after the last successful hydrostatic reductionThe mean operating time was 688 ± 126 min range 55–86 min There was no operative morbidity and no lead point was found in any child The mean followup period was 108 ± 67 months range 2–20 months No recurrence was observed during this periodThe authors suggest that early intervention should be undertaken for ileocolic intussusception with multiple recurrences in children after the last nonsurgical reduction has been attempted successfully Under this strategy laparoscopy is an acceptable approach It allows differentiation of a specific etiologic lesion the possibility of incomplete reduction and additional proximal invaginations Later complications such as repeat recurrence and associated surgical morbidity also can be avoided
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