Pneumatic reduction of pediatric intussusception: Experience at Queen Rania Al-Abdullah hospital for children

Objective: To report our experience in the management of pediatric intussusception using Pneumatic reduction regarding the outcome, complications, success and failure rates

Method: A retrospective study was done at Queen Rania Al-Abdullah Hospital for Children in the period from September 2012 to December 2014, total number of cases were forty five, thirty two were males [71.1%] and thirteen were females [28.9%], male to female ratio was 2.5:1, The ages of patients ranged from two months to three years with a mean age of 9 months

Results: Pneumatic reduction under fluoroscopic guidance was done for forty five patients who presented with intussusception for the first time and for four recurrent intussusceptions that had occurred in four patients. In forty cases [88.9%] Pneumatic reduction was successful while unfortunately it failed in five cases [11.1%]. No intestinal perforations occurred using this technique

Conclusion: Pneumatic reduction under fluoroscopic guidance is a safe, simple, cost effective technique with a high success rate; it is a quick procedure, easy to perform with a low radiation exposure

Inverted y on V meatourethroplasty for distal penile hypospadias: our experience in Queen Rania Al-Abdulla hospital for children

The aim of this study was to evaluate patients with Distal Penile Hypospadias who were treated by Inverted Y on V Meatourethroplasty regarding success rate, complications and cosmesis. This was a retrospective study, carried out at Queen Rania Al-Abdulla Hospital for Children from April 2010 to June 2012. Forty four patients with distal Penile Hypospadias without chordee underwent Inverted Y on V Meatourethroplasty. Age of the patients ranged from one and half year to eight years. Mean age was four and half years. Patients were followed up to 18 months post surgery. Thirty three patients [75%] had excellent results without any complications and excellent cosmetic result, while complications were seen in 11 patients, with retracted meatus in six cases [13.6%], fistula in four [9%], and complete disruption in one case [2.3%]. Inverted Y on V Meatourethroplasty can be used successfully for Distal Penile hypospadias repair with excellent cosmetic result, complications rate remains acceptable but we need further evaluation and more experience with this technique