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Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 3 No. 2 (2012)

Role of Ultrasound-Guided Hydrostatic Reduction of Intussusception in Children with Early Presentation

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2012
CONTENTSVolume 03Number 2July 2012
Editorial
Collaboration in Pediatric Surgical Training & Education among Asian Countries & Beyond – Bangladesh perspective
Abdul Hanif Tablu
54
Review Articles
Enuresis
Ashraf Ul Huq Kazal
78
Original Articles
Effect of Preoperative Chemotherapy in the Treatment of Advanced Wilms Tumor
Kaniz Hasina, Md Kamrul Hassan, Abdul Hanif, Abdur Rahed Khan, Muhammad Saiful Islam
56
Role of Ultrasound-Guided Hydrostatic Reduction of Intussusception in Children with Early Presentation
Md Shakhawat Hossain, Md Ashraf Ul Huq, Jafrul Hannan, Kaniz Hasina, RN Sarker
61
A Comparative Study to Evaluate the Outcome of Double Dartos Flap in Tubularized Incised Plate Urethroplasty for Distal Hypospadias Repair
Abhi Kumar Chakraborty, Sajal Kumar Majumdar, Mirza Kamrul Zahid, Sayed Mahmudur Rahman, Dipankar Kumar Saha, Khandoker Moynul Hasan
65
Incidence and Progress of Vesicoureteric Reflux after Primary Fulguration of Posteriorurethralvalves
MM Masud Pervez, Kaniz Hasina, Md Ashraf Ul Huq
71
Case Reports
Diaphragmatic Rupture in a Boy Following Blunt Abdominal Trauma- A Case Report
MA Mushfiqur Rahman, Md Minhajuddin Sajid, Md Abdullah Al Farooq, Md Akbar Husain Bhuiyan, Tanvir Kabir Chowdhury
81
Intestinal Atresia : A Case Report
Mohammad Shakhawat Hossain, Ashraf Ul Huq Kazal, Moinul Huque
85
Neuroblastoma neck in a 7-year-old girl: a very rare presentation
Rameez Shah, Sk Nurul Fatah Rumi
88
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Shakhawat HossainSenior Major, Bangladesh Army Medical Core
  • Md Ashraf Ul HuqProfessor & Head, Department of Pediatric Surgery, Dhaka Medical College & Hospital, Dhaka
  • Jafrul HannanHead, Department Paediatric Surgery, Maa-O-Shishu Hospital, Chittagong
  • Kaniz HasinaAssociate Professor, Department of Pediatric Surgery, Dhaka Medical College & Hospital, Dhaka
  • RN SarkerAssociate Professor, Department of Radiology & Imaging, Dhaka Medical College Hospital, Dhaka

Keywords

Intussusception Intussusceptum Intussuscepiens Hydrostatic reduction

Abstract

General objective: To study the efficacy of Ultrasound-guided hydrostatic reduction of intussusception in children with early presentation. Methods: The study group included children aged 03 months to 02 years with early case of intussusception confirmed on ultrasonography. One litre of normal saline bag was suspended at 100 cm height from the patients level. After connecting the saline bag with Foleys catheter introduced in the rectum, gradual distension of colon and retrograde movement of intussusceptum towards the caecum monitored by real time ultrasound. Successful reduction was assumed once mass was disappeared and passage of saline into the small intestine. If 1st attempt failed but there is some movement of the mass was present and child had no abdominal signs, 2nd and 3rd attempts were taken at least 30 min interval. Result: The overall success rate of US-guided hydrostatic reduction of intussusception in children with early presentation was about 90%, with no immediate recurrence and no perforation. Conclusion: Ultrasound guided hydrostatic reduction should be the first line of the treatment in patients with early presentation of intussusceptions aged between 3 months and 2 years old. In cases with failed initial reduction, a second or even third attempt may provide successful reduction.

Journal of Paediatric Surgeons of Bangladesh (2012) Vol. 3 (2): 61–64

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