| dc.description.abstract | Invagination is one of the most common causes of intestinal obstruction in children, with symptoms of abdominal pain and rectal bleeding, which can cause significant mortality if not treated in time. The first line of treatment in these patients is water or air enema, which is an effective and safe method and is effective in 85% of patients. In cases where this method is not effective or there is a possibility of peritonitis, surgery is needed. Traditionally, open surgery is often used for treatment in such cases, but today, with the advent of less invasive surgical methods, the laparoscopic method has been considered in the treatment of these patients. Many studies have reported laparoscopic surgery as an effective and low-complication procedure, shorter surgical stays, less need for narcotics, and fewer postoperative complications. The results of studies on the comparison of these two surgical methods are contradictory. Also, similar studies have not been performed in our region, so the purpose of this study is to compare the results of laparoscopic ileocolic intubation and open surgery in patients who have not been treated with normal saline enema.
Materials and Methods: After explaining the purpose of the study and how to conduct it to the parents of patients with intravagination and obtaining their consent, 52 of these patients who were treated with normal saline enema up to 3 times at intervals of 2-4 hours, but not treated with this method will be selected by available sampling and entered into the study. Patients will be randomly divided into two groups. In the first group, 26 patients will undergo laparoscopic surgery and in the second group, 26 patients will undergo open surgery. After surgery, patients will be evaluated for the duration of surgery, the length of hospital stay, pain from surgery, the time required to start feeding, and the extent of infection at the surgical site.
Results: In this study, the duration of surgery was significantly longer in the laparoscopic group than in the open surgery group (p = 0.006). The observed differences were not significant in terms of length of hospital stay after surgery, duration of oral feeding, pain and infection after surgery. | en_US |
