Patient's question:
Surgery, good mental condition, appetite is acceptable, deep sleep is possible, yellow-green stool containing white granules, weight gain. Onset date: January 15, 2010. Treatment situation. What kind of assistance is needed: What should parents pay attention to in the future...Doctor's answer:
1. The reduction of intussusception primarily involves using fingers to gently and continuously push the intussuscepted segment from the distal to the proximal end. The force must be sustained, gentle, and uniform. Under no circumstances should excessive force be applied to avoid tearing the intestinal wall. If reduction is difficult, techniques such as using an expandable sheath or incising the sheath may be employed. With patience, success is often achieved.2. After reduction, careful inspection of the cecal wall (or ileal wall) for any concave areas is necessary. If such areas are present, they must be restored to prevent recurrence of intussusception in the short term.
3. Infants are most commonly affected by this condition, and they have low surgical tolerance. During the procedure, efforts should be made to minimize excessive blood loss.
4. Assessing the viability of the intussuscepted intestine requires patience and meticulous attention. When dealing with obscurely viable intestinal tissue, decisions to resect or exteriorize must be made with extreme caution. Practical evidence shows that with sufficient time and various methods to restore blood circulation, a small portion of obscurely viable intestinal tissue can be fully recovered.
5. Sometimes, the intestinal wall in intussusception may exhibit severe edema. Even if the intussusception is successfully reduced, if the underlying tumor is small, it may remain undetected or overlooked due to its hidden location. This should be noted. Postoperatively, regular anal dilation or rectal drainage should be performed. If defecation and occur, patients with simple intussusception can resume a normal diet. For those undergoing intestinal resection and anastomosis, gastrointestinal decompression should be stopped, and only a minimal amount of liquid diet is provided initially, gradually increasing thereafter.