1. The incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception in children: A retrospective analysis
- Author
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Kanglie, Maadrika M. N. P., de Graaf, Nanko, Beije, Femke, Brouwers, Elise M. J., Theuns-Valks, Sabine D. M., Jansen, Frits H., van Zuidewijn, Diederick B. W. de Roy, Verhoeven, Bas, Van Rijn, Rick R., Bakx, Roel, Allema, J. H., Bruggink, J. L. M., Van Herwaarden, M. Y., Holscher, H. C., Klein, W. M., Nievelstein, R. A. J., Robben, S. G. F., van Schuppen, J., Verbeke, J. I. L. M., Wijnen, R., AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, Graduate School, Other Research, Radiology and Nuclear Medicine, ARD - Amsterdam Reproduction and Development, Paediatric Surgery, RS: SHE - R1 - Research (OvO), Beeldvorming, MUMC+: DA BV Medisch Specialisten Radiologie (9), Amsterdam Reproduction & Development (AR&D), Pediatrics, Radiology & Nuclear Medicine, and Pediatric Surgery
- Subjects
Male ,medicine.medical_treatment ,0302 clinical medicine ,PATHOLOGICAL LEAD POINTS ,Intussusception (medical disorder) ,Laparotomy ,Pediatric surgery ,Laparoscopy ,Child ,Netherlands ,medicine.diagnostic_test ,Ileal Diseases ,Incidence (epidemiology) ,AIR ,Incidence ,General Medicine ,Enema ,Treatment Outcome ,030220 oncology & carcinogenesis ,Child, Preschool ,ENEMA ,Female ,medicine.medical_specialty ,Adolescent ,03 medical and health sciences ,Negative intraoperative findings ,All institutes and research themes of the Radboud University Medical Center ,Hydrostatic reduction ,030225 pediatrics ,medicine ,MANAGEMENT ,Humans ,Diagnostic Errors ,Reduction (orthopedic surgery) ,METAANALYSIS ,Retrospective Studies ,business.industry ,Other Research Radboud Institute for Health Sciences [Radboudumc 0] ,Infant, Newborn ,Infant ,Retrospective cohort study ,medicine.disease ,Surgery ,Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] ,Pediatrics, Perinatology and Child Health ,business ,Intussusception - Abstract
Background: There is a lack of studies addressing the occurrence of negative intraoperative findings (that is the absence of intussusception) after an unsuccessful hydrostatic reduction of an ileocolic intussusception. The aim of this study is to determine the incidence of negative intraoperative findings after unsuccessful hydrostatic reduction of ileocolic intussusception.Methods: We conducted a multicentre retrospective study of all children aged 0-18 years treated for ileocolic intussusception from January 1, 2010 to December 31, 2015 in 9 Dutch hospitals. Primary outcome measure was the percentage of children without an intussusception during surgical exploration after unsuccessful hydrostatic reduction.Results: In the study period 436 patients were diagnosed with an ileocolic intussusception. Of these, 408 patients underwent hydrostatic reduction of an ileocolic intussusception. 112 patients (27.5%) underwent surgery after an unsuccessful hydrostatic reduction. In 13 (11.6%) patients no intraoperative evidence of intussusception was found. Patients who underwent surgical intervention after unsuccessful hydrostatic reduction were significantly younger than patients who had a successful hydrostatic reduction: there was no gender difference.Conclusion: A substantial number of children (11.6%) underwent a laparotomy after unsuccessful hydrostatic reduction in whom no intussusception was found intraoperatively. We suggest initiating laparoscopy instead of laparotomy when surgery is necessary. (C) 2018 Elsevier Inc. All rights reserved.
- Published
- 2018
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