Hydrostatic Reduction Supported With External Manuel Reduction In Treatment Of Intussusception: A New Technical Synthesis

INTRODUCTION: Intussusception treatment is routinely performed in our clinic using ultrasound-guided hydrostatic reduction (USGHR). Because of the difficulties seen in technique and its less-than-ideal success rate, alternative methods are searched. In this study, we would like to discuss using external manual reduction (EMR) in combination with USGHR in intussusception treatment
METHODS: This retrospective study was completed in Pediatric Surgery Department of Van Training and Research Hospital, between February2018 and May 2018. Patients that treated with USGHR marked as Group 1 and Patients that treated with combination of USGHR and marked as Group 2. Patients age, gender, symptoms, treatment techniques, complications and hospitalization periods were noted.
RESULTS: In Group 1; 14 patients were treated with a single session and 2 were treated with 2 sessions. 4 patients were treated with surgery. Mean reduction time was calculated as 16 minutes, the fluid volume required for each reduction was 84 ml/kg and mean hospitalization period was calculated as 33 hours.
In Group 2; 18 out of 20 patients were treated in the first session and 2 required a secondary session. Mean reduction time was calculated as 13 minutes, the fluid volume required for reduction was 65 ml/kg and mean hospitalization period was calculated as 25 hours.
The results were statistically assessed by using SPSS version 24. Normality controls were done using Shapiro-Wilk Test.

DISCUSSION AND CONCLUSION: As an alternative; USGHR supported by EMR can be beneficial in increasing the treatment success rate in intussusception treatment and decreasing negative laparotomy rates, especially in partial reduction cases.