Mc Enroe Dennis Mordom1 , Beena Sushama Vasudevan2 , Surendranath Sethunath3
BACKGROUND Intussusception is the most common cause of intestinal obstruction in young children under 36 months of age. We wanted to analyse the mode of presentation & the effectiveness of sonoguided hydrostatic saline reduction in the management of intussusception in paediatric cases. METHODS Cases admitted with a diagnosis of intussusception from January 2016 to December 2018 in the Department of Paediatric Surgery, Medical College Hospital, Trivandrum, were studied. Patients with sonological diagnosis of intussusception were included in the study & those with no clinical/sonological features of intussusception were excluded from the study. The mode of presentation, ultrasound finding, hydrostatic reduction findings, operative findings & final outcome were analysed. RESULTS 460 cases were included in the study. 383 cases underwent successful hydrostatic reduction. Transient intussusception / sonological misdiagnosis was seen in 36 cases. 56 cases had primary recurrences which were all treated with hydrostatic reduction. 37 cases underwent Laparotomy. Pathological lead point was present in only 4 cases. CONCLUSION Sonoguided hydrostatic saline reduction is an effective and safe management in the treatment of uncomplicated intussusception. Even recurrent cases can be treated successfully with hydrostatic reduction.
