SURGICAL MANAGEMENT OF CHILDHOOD INTUSSUSCEPTION AND ITS OUTCOME IN DHQ TEACHING HOSPITAL, D. I. KHAN

Background: Intussusception is the commonest cause of intestinal obstruction in children. It can be managed by non-operative reduction or surgically. This study was conducted to assess our experience with surgical management of childhood intussusception and its outcome. Material & Methods: A retrospective study of the medical records of admitted cases of childhood intussusception from 1st January 2007 to 31st December 2010, in District Headquarter Hospital, Dera Ismail Khan was undertaken. Results: Out of 50 cases, 31(62%) were male and 19(38%) female. The age range was 3 months to 10 years. Majority of the cases (60%) presented with the classic triad of vomiting, abdominal pain and rectal bleeding. After resuscitation, all the patients were operated upon. In 20 patients (40%), manual reduction with appendisectomy was done while in the remaining 30(60%) patients, resection and end to end anastomosis was done. Post-operative complications occurred in 14% of cases. Four (8%) developed wound infection, 1(2%) pneumonia, 2(4%) incisional hernia, and one patient died due to septicemia. Conclusion: The surgical management of intussusception has good outcome in outcome in our setting.