Saddar Rahim, Kafayat Khan, Misbah Durrani, Daraz Khan, Javed Khan, Uzair M.
Success Rate of Ultrasound-guided Hydrostatic Reduction of Intussusceptions by Saline Enema.
Ophthalmol Update Jan ;16(1):570-4.

Objective: Objective of this study is to determine the success rate of hydrostatic reduction of intussusception by using saline enema under ultrasound guidance. It is a cross sectional study in the Paediatric Surgery Unit, Government Postgraduate Medical Institute Lady Reading Hospital, Peshawar 12 months from 28TH 2012 to Jan 2014. It is a consecutive nonprobability sampling technique and we included fifty (50) diagnosed cases of intussusception for our study. Methods: Fifty pediatric patients with intussusceptions treated by ultrasound guided hydrostatic reduction were evaluated. Results: The success rate of ultrasound guided hydrostatic reduction of intussusceptions in 50 patients was 78%(39). 11(22%) patients failed to show reduction of intussusception, underwent open surgical procedure. Colonic perforation occurred in 4(8%) patients. Two infants suffered from aspiration pneumonia because of vomiting during the procedure of hydrostatic reduction of intussusception by saline enema. There was no mortality. Conclusions: USGHR of intussusceptions avoids radiation exposure and it is reliable and safe. Procedure. Moreover it has high success rate and minimal complications. It is a suitable method for the nonoperative treatment of pediatric intussusceptions and can be widely used as routine therapy.

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