REFERENCES 1.
Marte A, Pintozzi L, Cavaiuolo S, Parmeggiani P. Single-incision laparoscopic surgery and conventional laparoscopic treatment of varicocele in adolescents: Comparison between two techniques. Afr J Paediatr Surg 2014;11:201-5.
2.
Tam YH, Lee KH, Sihoe JD, Chan KW, Cheung ST, Pang KK. Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery. J Pediatr Surg 2010;45:2381-5.
3.
Sherif H, El-Tabey M, Abo-Taleb A, Abdelbaky A. Single-incision laparoscopic surgery in urology. Curr Urol 2012;6:8-14.
Manual versus hydrostatic reduction for intussusception Access this article online Quick Response Code:
Website: www.afrjpaedsurg.org
of the cases.[3] The good control of positioning during HR seems to be a critical point to be kept in mind for minimizing the perforation complication.[4]
DOI: 10.4103/0189-6725.143193
Sora Yasri, Viroj Wiwanitkit1,2,3
PMID: ****
Sir, The report on comparison manual versus hydrostatic reduction (HR) for intussusception is interesting.[1] Ocal et al. have reported that “HR together with ultrasonography is a safe technique in the treatment of intussusception, which also shortens the duration of hospitalisation and significantly reduces the treatment costs.”[1] In fact, there are some concerns on this report. First, there is no evidence from the present single-centre report on the cost; hence, it should not be able to make any conclusion that an alternative can reduce treatment cost. Focusing on reduction, sonographically guided HR is confirmed for its efficacy in many reports.[1,2] However, this does not mean that there is no complication of the procedure. According to the recent report by Okazaki et al., the bowel perforation due to HR could be observed in 1-2%
374
October-December 2014 / Vol 11 / Issue 4
Primary Care Unit, KMT Center, Bangkok, Thailand, 1Hainan Medical University, China, 2Tropical Medicine Unit, Faculty of Medicine, University of Nis, Serbia, 3Joseph Ayobabalola University, Nigeria Address for correspondence: Dr. Sora Yasri, Primary Care Unit, KMT Center, Bangkok, Thailand. E-mail: [email protected]
REFERENCES 1.
2.
3.
4.
Ocal S, Cevik M, Boleken ME, Karakas E. A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience. Afr J Paediatr Surg 2014;11:184-8. Peh WC, Khong PL, Chan KL, Lam C, Cheng W, Lam WW, et al. Sonographically guided hydrostatic reduction of childhood intussusception using Hartmann’s solution. AJR Am J Roentgenol 1996;167:1237-41. Okazaki T, Ogasawara Y, Nakazawa N, Kobayashi H, Kato Y, Lane GJ, et al. Reduction of intussusception in infants by a pediatric surgical team: Improvement in safety and outcome. Pediatr Surg Int 2006;22:897-900. Bramson RT, Blickman JG. Perforation during hydrostatic reduction of intussusception: Proposed mechanism and review of the literature. J Pediatr Surg 1992;27:589-91.
African Journal of Paediatric Surgery
Copyright of African Journal of Paediatric Surgery is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
Marte A, Pintozzi L, Cavaiuolo S, Parmeggiani P. Single-incision laparoscopic surgery and conventional laparoscopic treatment of varicocele in adolescents: Comparison between two techniques. Afr J Paediatr Surg 2014;11:201-5.
2.
Tam YH, Lee KH, Sihoe JD, Chan KW, Cheung ST, Pang KK. Initial experience in children using conventional laparoscopic instruments in single-incision laparoscopic surgery. J Pediatr Surg 2010;45:2381-5.
3.
Sherif H, El-Tabey M, Abo-Taleb A, Abdelbaky A. Single-incision laparoscopic surgery in urology. Curr Urol 2012;6:8-14.
Manual versus hydrostatic reduction for intussusception Access this article online Quick Response Code:
Website: www.afrjpaedsurg.org
of the cases.[3] The good control of positioning during HR seems to be a critical point to be kept in mind for minimizing the perforation complication.[4]
DOI: 10.4103/0189-6725.143193
Sora Yasri, Viroj Wiwanitkit1,2,3
PMID: ****
Sir, The report on comparison manual versus hydrostatic reduction (HR) for intussusception is interesting.[1] Ocal et al. have reported that “HR together with ultrasonography is a safe technique in the treatment of intussusception, which also shortens the duration of hospitalisation and significantly reduces the treatment costs.”[1] In fact, there are some concerns on this report. First, there is no evidence from the present single-centre report on the cost; hence, it should not be able to make any conclusion that an alternative can reduce treatment cost. Focusing on reduction, sonographically guided HR is confirmed for its efficacy in many reports.[1,2] However, this does not mean that there is no complication of the procedure. According to the recent report by Okazaki et al., the bowel perforation due to HR could be observed in 1-2%
374
October-December 2014 / Vol 11 / Issue 4
Primary Care Unit, KMT Center, Bangkok, Thailand, 1Hainan Medical University, China, 2Tropical Medicine Unit, Faculty of Medicine, University of Nis, Serbia, 3Joseph Ayobabalola University, Nigeria Address for correspondence: Dr. Sora Yasri, Primary Care Unit, KMT Center, Bangkok, Thailand. E-mail: [email protected]
REFERENCES 1.
2.
3.
4.
Ocal S, Cevik M, Boleken ME, Karakas E. A comparison of manual versus hydrostatic reduction in children with intussusception: Single-center experience. Afr J Paediatr Surg 2014;11:184-8. Peh WC, Khong PL, Chan KL, Lam C, Cheng W, Lam WW, et al. Sonographically guided hydrostatic reduction of childhood intussusception using Hartmann’s solution. AJR Am J Roentgenol 1996;167:1237-41. Okazaki T, Ogasawara Y, Nakazawa N, Kobayashi H, Kato Y, Lane GJ, et al. Reduction of intussusception in infants by a pediatric surgical team: Improvement in safety and outcome. Pediatr Surg Int 2006;22:897-900. Bramson RT, Blickman JG. Perforation during hydrostatic reduction of intussusception: Proposed mechanism and review of the literature. J Pediatr Surg 1992;27:589-91.
African Journal of Paediatric Surgery
Copyright of African Journal of Paediatric Surgery is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
