POSSIBILITIES OF VIDEOLAPAROSCOPY IN SURGICAL TREATMENT OF INTESTINAL INTUSSUSCEPTION IN CHILDREN

Akilov H. A. and Maksumov G. A.

ABSTRACT

The article presents the results of treatment of 157 children aged from 2 months to 18 years (mean age 3.4 ± 1.8 years) with intestinal intussusception and its complications, who were treated in the pediatric surgical department of the Republican Scientific Center for Emergency Medical Care in 2014-2024. Boys - 102 (65%), Girls - 55 (35%). In 9 (5.7%) cases, there were clinical and instrumental signs of peritonitis, which led to emergency laparotomy. In the remaining 148 (94.3%) patients without signs of peritonitis and intestinal necrosis as a result of intussusception, pneumodesinvagination was used first, which was successful in 27.7% (41/148) of cases. In case of ineffectiveness of conservative pneumointussusception, 72.3% (107/148) used laparoscopic pneumointussusception. The success rate of this method is 82.2% (88/107). In children with intestinal intussusception, the success rate of traditional pneumatic disinvagination does not exceed 27.7%. Two-stage pneumodesinvagination (if the first attempt is unsuccessful) using laparoscopically assisted pneumocolonoscopy is an effective (82.2%), minimally invasive and safe method of surgical treatment of intestinal intussusception in children.

Keywords: intussusception, conservative disintussusception, pneumatic compression, laparoscopy, laparotomy