Intussusception surgery

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Intussusception Microchapters

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Historical Perspective

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Differentiating Intussusception from other Diseases

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Natural History, Complications and Prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]

Overview

Surgery is not the first-line treatment option for patients with intussusception. Surgery is usually reserved for patients with either unstable patient, intestinal perforation, peritonitis, a mass lesion and patients in whom medical therapy was completely unstable. Technique includes intravenous fluid resuscitation, nasogastric tube decompression and use of laparoscopy. Benefits of laparoscopy include accurate diagnosis, rapid recovery and minimal use of narcotic analgesia post-operatively.

Surgery

References

  1. Pierro A, Donnell SC, Paraskevopoulou C, Carty H, Lloyd DA (1993). "Indications for laparotomy after hydrostatic reduction for intussusception". J. Pediatr. Surg. 28 (9): 1154–7. PMID 8308683.
  2. Cheung ST, Lee KH, Yeung TH, Tse CY, Tam YH, Chan KW, Yeung CK (2007). "Minimally invasive approach in the management of childhood intussusception". ANZ J Surg. 77 (9): 778–81. doi:10.1111/j.1445-2197.2007.04228.x. PMID 17685958.
  3. <ref name="pmid23327343">Hill SJ, Koontz CS, Langness SM, Wulkan ML (2013). "Laparoscopic versus open reduction of intussusception in children: experience over a decade". J Laparoendosc Adv Surg Tech A. 23 (2): 166–9. doi:10.1089/lap.2012.0174. PMID 23327343.
  4. Sklar CM, Chan E, Nasr A (2014). "Laparoscopic versus open reduction of intussusception in children: a retrospective review and meta-analysis". J Laparoendosc Adv Surg Tech A. 24 (7): 518–22. doi:10.1089/lap.2013.0415. PMID 24987845.
  5. Houben CH, Feng XN, Tang SH, Chan EK, Lee KH (2016). "What is the role of laparoscopic surgery in intussusception?". ANZ J Surg. 86 (6): 504–8. doi:10.1111/ans.13435. PMID 26699630.
  6. Madonna MB, Boswell WC, Arensman RM (1997). "Acute abdomen. Outcomes". Semin. Pediatr. Surg. 6 (2): 105–11. PMID 9159862.