Intussusception is a condition in which one portion of the intestine folds itself inside another portion. The outer "receiving" portion of an intussusception is called the intussuscipiens the part that has been received inside the intussuscipiens is called the intussusceptum.
The result of an intussusception is that the bowel is obstructed, and its blood supply gradually cut off. Surgery is sometimes necessary to relieve the obstruction.
Purpose of Laparoscopic Reduction of Intussusception
The purpose of an intussusception reduction is to prevent gangrene of the bowel which may lead to perforation of the bowel, severe infection, and death.
These lead points include cystic fibrosis recent upper respiratory or gastrointestinal illness congenital abnormalities of the digestive tract benign or malignant tumors chemotherapy or the presence of foreign bodies.
Description of Laparoscopic Reduction of Intussusception
Laparoscopic reduction of intussusception is a surgical procedure in which a laparoscope (a thin, lighted tube) and other instruments are inserted into the abdomen through small incisions.
The internal operating field is then visualized on a video monitor that is connected to the scope. In some patients, the surgeon may perform a laparoscopy for abdominal exploration in place of a laparotomy.
Laparoscopy is associated with speedy recoveries shorter hospital stays, and smaller surgical scars on the other hand, it requires costly equipment and advanced training on the surgeon's part. In addition, it offers a relatively limited view of the operating field.
Diagnosis of Laparoscopic Reduction of Intussusception
The diagnosis of intussusception is usually made after a complete physical examination, medical history, and series of imaging studies.
X-rays may be taken of the abdomen with the patient lying down or sitting upright. Ultrasonography (an imaging technique that uses high-frequency sounds waves to visualize structures inside the body) and computed tomography (an imaging technique that uses X-rays to produce two-dimensional cross-sections on a viewing screen) are also used to diagnose intussusception.
A contrast enema is a diagnostic tool that has the potential to reduce the intussusception during this procedure, x-ray photographs are taken of the intestines after a contrast material such as barium or air is introduced through the anus.
Children diagnosed with intussusception are kept on intravenous (IV) fluids and nasogastric decompression (in which a flexible tube is inserted through the nose down to the stomach) in an effort to avoid surgery.
An enema may also be given to the patient, as 40–90% of cases are successfully treated by this method. If these noninvasive treatments fail, surgery becomes necessary to relieve the obstruction.
Who performs Laparoscopic Reduction of Intussusception and where it is performed?
Laparoscopic Reduction of Intussusception is usually performed in a hospital operating room under general anesthesia.
The operation may be performed by a general surgeon, a pediatric surgeon (in the case of pediatric intussusception), or a colorectal surgeon (a medical doctor who focuses on the surgical treatment of diseases of the colon, rectum, and anus).