An interventional study of Laparoscopy in Intussusception, sponsored by Assiut University. Not yet recruiting. Open to participants aged 1 Year to 12 Years. Per ClinicalTrials.gov, last updated 2025-02-04.
Sponsored by Assiut University · Not applicable, Interventional, and Treatment
Laparoscopic Reduction of Intussusception in Children: Role in Primary Reduction after Failed Non-Surgical Therapies.
Intussusception is one of the main abdominal emergencies in children. Its diagnosis is usually based on the clinical features and confirmed either by U/S and /or barium enema and CT scan in rare occasion. Since the introduction of the hydrostatic reduction of intussusceptions by Ravitch in 1848, it became the gold standard management. However surgical intervention is required if this and other non-operative approaches fail. This typically involves 10 to 20% of cases. Early on, the approach has been through an open laparotomy and manual reduction of intussusception. Later, the introduction of the laparoscopy in the paediatric surgical field has added another dimension to the management of intussusception. In addition to its confirmed general benefits of less pain, better cosmoses, and low long-term risk of adhesive bowel obstruction, it also can be a diagnostic modality in certain cases, primary reduce the intussusception and in some cases to resect the pathological lead point or the damaged segment of bowel. The laparoscope allowed the surgeons to avoid unnecessary open procedures in cases of spontaneous reduction following enema reductions, obviating the need for an open procedure in up to 30% of cases. Despite of all mentioned above, its effectiveness has been questioned.
31 studies on the registry are indexed under Intussusception; 6 are open to participants now.
This study's planned enrollment of 20 is below the median of 78 across 16 interventional studies indexed under Intussusception.
Browse Intussusception studies →Assiut University is the lead sponsor of 5,078 studies on the registry; 2,178 are open to participants now.
Of its 14 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
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The abdomen is insufflated through an umbilical ring incision and a trocar is inserted to act as a camera Port. Two other ports for manipulation are placed depend on the position of the intussusception either in the right lower quadrant and the left upper quadrant or both the upper left and lower left quadrants of the abdomen. These ports position is assuming that radiological reduction has carried the intussusceptum to the right colon. Two atraumatic bowel clamps are used for bowel manipulation. The reduction is achieved by traction placed on the proximal bowel (intussusceptum) out of the distal segment (the intussuscepien).
Procedure: Laparoscopy
Intussusception reduction by laparoscopy in children in failed non surgical procedures and in recurrence
Results of Laparoscopy using in reduction of intussusception in children.
According to hospital stay, cosmesis and as a minimally invasive approach.
Time frame: 6 months
No study locations are listed for this record.
Start is estimated for May 2025; primary completion for Jan 2026, 7 months later.
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This study is not yet recruiting, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.
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