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- W2054291444 abstract "<b>Aim:</b> To evaluate an alternative way of reducing intussusceptions under laparoscopic guidance. <b>Materials and Methods:</b> This is a retrospective observational study of children who underwent laparoscopy-assisted hydrostatic <i>in situ</i> reduction of intussusceptions (LAHIRI). Under general anesthesia with laparoscopic vision, warm saline was infused into the rectum with a 16-18 F Foley catheter and a drip set till the intussusception was reduced. <b>Results:</b> Eleven patients [age 7.8 (±2.8) months] were operated over a period of 1 year. Ten (90.9%) patients had ileocolic intussusception, which got completely reduced, but one (9%) had ileo-ileocolic intusussception, in whom manual reduction by extending the subumbilical incision was required to reduce the ileoileal part. The mean duration of surgery was 38.5 (±6.6) min. No patient had bowel ischemia and there were no intra- or postoperative complications. <b>Conclusions:</b> LAHIRI appears to be an effective and safe technique in children. Specific advantages are that it is performed in a controlled environment in the operating room, avoids patient apprehension and discomfort, avoids bowel handling, provides a safe opportunity to create higher intraluminal pressure, ensures visual assessment of bowel vascularity and completeness of reduction." @default.
- W2054291444 created "2016-06-24" @default.
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- W2054291444 date "2011-01-01" @default.
- W2054291444 modified "2023-10-16" @default.
- W2054291444 title "Laparoscopy-assisted hydrostatic in situ reduction of intussusception: A reasonable alternative?" @default.
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- W2054291444 doi "https://doi.org/10.4103/0971-9261.74513" @default.
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