INTUSSUSCEPTION

MANAGEMENT IN INFANTS AND CHILDREN IN OUR SETUP

Abstract

Objective: To review our results of management and compare them with
other published series. Design: Retrospective study. Period: July 1995 to June 2006. Setting: Department of
Paediatric Surgery, Allied Hospital, Faisalabad. Patients and Methods: The record of all patients was reviewed.
Results: A total of 102 patients were managed during this period. They were predominantly males. Eighty four percent
were under 1 year while more than half under 6 months. Two thirds four of the cases presented between the months
of March and August. Intussusception was preceded by a about of acute gastroenteries in over one third of the cases.
Mean duration of symptoms before presentation was 72 hours. All cases except one, underwent surgical exploration.
At operation resection and anastomosis had to be done in nearly 60%. Wound infection (12%) and wound dehiscence
(2%) were the major complications. Mortality rate was 8%. Conclusion: The management of intussusception in our
setting is unsatisfactory when compared to the international standards. A high index of suspicion leading to early
coupled with an inprocement in the management standards is needed.