Factors leading to surgical treatment of intussusception.
We have reviewed the histories of 36 children treated operatively for 37 intussusceptions on one surgical service at this hospital during a period of ten years. Thirteen children had undergone operative procedures without attempted hydrostatic reduction. The only death that occurred was in a 800 gram premature infant. Pre-existing conditions altering intestinal motility were present in seven children. A definite lead point in the intestinal tract was present in six patients. Although hydrostatic reduction plays a major role in the management of uncomplicated intussusception in the pediatric age group, surgical treatment is sitll a necessary alternative for the management of intussusception.
D002675:Child, Preschool; D005260:Female; D006801:Humans; D006874:Hydrostatic Pressure; D007223:Infant; D007231:Infant, Newborn; D007443:Intussusception / Q000601:surgery* / Q000628:therapy; D008297:Male; D011183:Postoperative Complications; D012008:Recurrence