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Role of laparoscopy in recurrent pediatric intussusceptions: systematic review

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Abstract

Aim

This systematic review was performed to evaluate the role of laparoscopy in cases of recurrent intussusception in children.

Methods

The literature was reviewed for articles on Pubmed and Web of Science with search terms “laparoscopy”, “recurrent intussusception” and “children”.

Results

There were 12 articles describing 164 children (9 months to 13 years old) that underwent laparoscopy for recurrent intussusception. The site of intussusception was ileocolic in 94.51% of cases. Non-surgical reduction was initially performed in 89 cases, while in only 4 cases laparoscopy was used as a first-line treatment. Manual reduction was required between 2 and 8 times for each child, with a median of 3.29 procedures prior to laparoscopic intervention. A lead point was identified in 5 cases: Meckel’s diverticulum in 3, appendicitis in 2 and juvenile polyps in 1. Procedures included: appendectomies (n = 149), ileocolonic pexies (n = 118), folding of ileum (n = 2), resection of Meckel’s diverticulum (n = 3) and cecectomy (n = 2). Laparoscopy was unsuccessful in 20 children, who needed subsequent surgery. There were no morbidities.

Conclusions

In conclusion, laparoscopy is successfully used in recurrent intussusception in children. The procedure is usually done after 3 recurrences. Only 3% of patients with recurrent intussusception are reported to have a lead point. The rate of reoperation after laparoscopy is approximately 12%, with no morbidities.

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Data availability

All data analyzed during this study are included in this article.

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Authors and Affiliations

  1. Department of Paediatric Surgery, Chelsea Children’s Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, Imperial College London, 369 Fulham Road, London, SW10 9NH, UK

    Gratiana O. Alqadi & Amulya K. Saxena

  2. Department of Paediatric Surgery, University of Medicine and Pharmacy ‘Carol Davila’, Bucharest, Romania

    Gratiana O. Alqadi

Authors
  1. Gratiana O. Alqadi
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  2. Amulya K. Saxena
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Correspondence to Amulya K. Saxena.

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Alqadi, G.O., Saxena, A.K. Role of laparoscopy in recurrent pediatric intussusceptions: systematic review. J Ped Endosc Surg 5, 153–157 (2023). https://doi.org/10.1007/s42804-023-00204-w

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  • DOI: https://doi.org/10.1007/s42804-023-00204-w

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