The choice of optimal treatment methods for invaginal intestinal obstruction in children

Abstract

Aim. To study the effectiveness of a differentiated approach to the use of various treatment methods of
invagination intestinal obstruction (IIO) in children.
Material and methods. The experience of treatment of 75 patients with various variants of invaginal
intestinal obstruction (IIO) in children was studied in the period of 2019-2021 years. In 12 (16,0%) patients, successful conservative desinvagination was performed. Surgical interventions were performed in
63 (84,0%) cases, 17 (27,0%) patients underwent laparoscopic desinvagination.
Results. Laparoscopic desinvagination was performed in 8 (12,7%) patients, in 9 (14,3%) patients had to
resort to conversion. In 55 (73,3%) patients (including 9 after conversion), the operation was performed
by laparotomic (right pararectal) access. In 52 patients desinvagination of the intestine was performed,
in 3-right-sided hemicolectomy with partial resection of the small intestine with the imposition iliotransverse anastomosis. One 6-month-old child with multi-day IIO, complicated with peritonitis, died due to
multiple organ failure syndrome (MOFS).
Conclusion. In the treatment of IIO in children, a differentiated approach to the use of various methods
treatment is necessary, taking into account the identified variants and terms of the pathology.