title: Laparoscopy-assisted hydrostatic in situ reduction of intussusception: A reasonable alternative?
abstract: OBJECTIVE
  To evaluate an alternative way of reducing intussusceptions under laparoscopic guidance.
  
  
  METHODS
  This is a retrospective observational study of children who underwent laparoscopy-assisted hydrostatic in situ 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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors: Department of Paediatric Surgery, Gandhi Medical College and Hospital, Hyderabad, Andhra Pradesh, India.
authors: V V S S
authors: VV
authors: Chandrasekharam
authors: Suhasini
authors: S
authors: Gazula
authors: Rajendra Prasad
authors: RP
authors: Gorthi