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