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العنوان
Laparoscopic-Assisted Pneumatic Reduction for Infantile Intussusception /
المؤلف
Ahmed, Ahmed Hosny.
هيئة الاعداد
باحث / Ahmed Hosny Ahmed
مشرف / Mohammed Jamal Sayed Saleh
مشرف / Ayman Mohamed Hassanin
مشرف / Ahmed Kamal Abd El Moula
الموضوع
Intussusception in children. Intestines - Obstructions.
تاريخ النشر
2012.
عدد الصفحات
134 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2012
مكان الإجازة
جامعة المنيا - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 107

from 107

Abstract

Intussusception considered one of the most common presenting surgical emergencies in pediatric surgery. Non operative reduction proved to be a good management for cases of intussusceptions. In failed or doubtful cases, open surgery was the only available management. Many studies tried to outline role of laparoscopy in cases of intussusceptions.
In our study, we aimed to evaluate role, advantages and disadvantages of laparoscopic intervention in assistance of air enema reduction. This study included 20 cases of early intussusception that presented to emergency surgical unit of EI Minia university hospital over a period of 8 months.
Patient age was 6 month to 3 years. Air enema reduction was attempted In all cases. Cases with failed, doubtful complete reduction, and I or multiple recurrences were included in our study. Neglected or complicated cases were excluded from our study from the start. Patients were fully investigated and resuscitated. Laparoscopic Assisted pneumatic reduction was done. Complicated or failed cases were turned to open surgery
After completing our study and comparing it to other studies, we found that our technique has the following advantages:
• Avoid the patient unnecessary laparotomy
• Concomitant pneumatic and laparoscopic reduction make the
patient get advantages of both maneuvers.
• Abolish dangerous disadvantages of pneumatic reduction
• Decreasing incidence of recurrences by detecting lead points
• Decreasing incidence of laparoscopic induced perforation of bowel loops by limiting its manipulation.