| ORIGINAL ARTICLE |
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| Year : 2022 | Volume
: 27
| Issue : 3 | Page : 329-332 |
The syringe technique for ultrasound-guided hydrostatic intussusception reduction
Sandeep Rai1, Aureen Ruby DCunha1, RM ShreeRaghu2, Neevan DSouza3
1 Department of Paediatric Surgery, K.S. Hegde Medical Academy, NITTE University, Mangaluru, Karnataka, India
2 Department of General Surgery, K.S. Hegde Medical Academy, NITTE University, Mangaluru, Karnataka, India
3 Department of Biostatistics, K.S. Hegde Medical Academy, NITTE University, Mangaluru, Karnataka, India
Correspondence Address:
Dr. Aureen Ruby DCunha
Department of Paediatric Surgery, K.S. Hegde Medical Academy, Mangaluru, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jiaps.JIAPS_55_21
Background: Ultrasound-guided hydrostatic reduction (UGHR) is a well accepted and widely used method of paediatric intussusception reduction, with the saline drip technique being the most commonly employed.
Aims and Objectives: In this study we aimed to assess the outcomes of a novel technique of UGHR.
Materials and Methods: Data was obtained from a 15 year retrospective chart review of paediatric intussusceptions. Following resuscitation, UGHR was performed for uncomplicated intussusceptions using a 50cc syringe to infuse saline into the colon. It was performed in the ultrasound suite without sedation and time taken was monitored. A maximum of 3 attempts were done to achieve reduction.
Results: UGHR was attempted in 66 of 93 intussusceptions. The commonest type of intussusception was ileo-colic(91%) and the commonest symptom was vomiting(70%). Surgery was performed only when there was shock, peritonitis or repeated failed reductions. The median time taken for reduction was 4.9 minutes. The overall success rate was 83% with 89% of these requiring only a single attempt. There were no deaths or procedure related complications.
Conclusions: The syringe technique for intussusception reduction is a safe, effective, and time-saving technique. Additionally, it offers the advantages of simplicity and rapidity of reduction and in experienced hands may not require pressure monitoring
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