• Main page
• About the journal
• Editorial board
• Subscription
• Information for contributors
• Editorial and Peer Review
• Issues archive
• Authors
• Articles
  • By alphabet
  • By category
• Blogs and comments

The journal is included into The list of leading scientific periodicals.

The journal is included into VINITI database and is registered in Electronic scientific library.

The journal is indexed by SCOPUS, Ulrich's International Periodicals Directory.

EBSCO

https://doi.org/10.14300/mnnc.2015.10028

Intussusception treatment in children. Single center experience

[Surgery]
Maksim Savenko; Valeriy Degtyar; Aleksandr Barsuk; Alexander Gladkij; Sergey Koval;

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.

Download

References:
1. Apelt N., Featherstone N., Giuliani S. Laparoscopic treatment of intussusception in children: A systematic review. Journal of Pediatric Surgery 2013;48:1789–1793. doi: 10.1016/j.jpedsurg.2013.05.024
2. Ashcraft’s pediatric surgery [edited by] George Whitfield Holcomb III, J. Patrick Murphy; associate editor, Daniel J. Ostlie. – 5th ed.
3. Bucher B. T., Hall B. L., Warner B. W., Keller M. S. Intussusception in children: cost-effectiveness of ultrasound vs diagnostic contrast enema. Journal of Pediatric Surgery 2011;46:1099–1105. doi:10.1016/j. jpedsurg.2011.03.034
4. Cheung S. T., Lee K. H., Yeung T. H. et al. Minimally invasive approach in the management of childhood intussusception. ANZ J Surg 2007;77:778-81. doi: 10.1111/j.1445-2197.2007.04228.x
5. Endoskopicheskaya hirurgiya u detey / pod redaktsiey Yu. F. Isakova, A. F. Dronova. – M.: GEOTAR-MED, 2002.
6. Fraser J. D., Aguayo P., Ho B. et al. Laparoscopic management of intussuscpetion in pediatric patients. J Laparoendosc Adv Surg Tech A 2009;19(4):563-565. doi: 10.1089/lap.2009.0117
7. Kirgizov I. V., Minaev S. V. The ultrasonic way of the intraoperative assess of the resection volume of colon in children with chronic constipation. Medicinskii Vestnik Severnogo Kavkaza. – Medical News of North Caucasus. 2014;9(2):125-128. doi: 10.14300/mnnc.2014.09035
8. Poddoubnyi I. V., Dronov A. F., Blinnikov O. I. et al. Laparoscopy in the treatment of intussusceptin in children. J Pediatr Surg 1998;33(8):1194-1197. doi: 10.1016/S0022-3468(98)90149-X
9. Puri P, Höllwarth M. Pediatric surgery. Berlin, Heidelberg: Springer; 2006.
10. Takeuchi M., Osamura T., Yasunaga H. et al. Intussusception among Japanese children: an epidemiologic study using an administrative database. BMC Pediatr 2012;12:36. doi:10.1186/1471-2431-12-36

Keywords: intussusception, treatment, laparoscopy, outcome, children