Digestive System Surgery Paediatrics
Conditions
Interventions
Laparoscopic Assisted Hydrostatic Reduction of Pediatric Intussusception
Sponsors
None
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria were all pediatric intussusception cases.
Exclusion criteria
Exclusion criteria: Exclusion criteria were unstable general condition, contraindication of laparoscopic surgery (e.g. cardiac disease), patients with marked abdominal distension, and those with signs of peritonitis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome was the success of LAHR, which was defined as complete reduction of the intussusception mass under laparoscopic visualization and restoration of normal bowel appearance and continuity, without the need for conversion to mini-laparotomy or bowel resection. A successful case also included the absence of intraoperative findings requiring resection (e.g., perforation, necrosis, or tumor). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes included postoperative complications. • Postoperative infection was defined by the presence of purulent fluid in the surgical drain or intraperitoneal space, supported by systemic signs such as fever >38°C or elevated white cell count, or by ultrasound, and treated with appropriate antibiotics and supportive measures. • Postoperative ileus was diagnosed based on clinical signs of abdominal distension, delayed return of bowel function (no flatus or stool >48 hours), and radiologic evidence of air-fluid levels. • Wound infection was defined as localized erythema, warmth, and/or purulent discharge at the trocar or mini-laparotomy sites, requiring local or systemic antibiotic therapy. | — |
Countries
Egypt
Contacts
Public ContactAbdelmotaleb Ebeid
Professor of Pediatric Surgery Faculty of Medicine Tanta University Tanta Egypt
Outcome results
None listed