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Related Experiment Video

Updated: Dec 12, 2025

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Open transumbilical intussusception reduction in children: A prospective study.

Ning Li1, Qiao Bao1, Jiyan Yuan1

  • 1Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Journal of Pediatric Surgery
|August 15, 2020
PubMed
Summary

Open transumbilical intussusception reduction (OTIR) is a safe and effective alternative to laparoscopic reduction (LAP) for children. OTIR offers shorter operative times and lower costs, making it a valuable option for intussusception treatment.

Keywords:
IntussusceptionLaparoscopyMinimally invasive surgeryUmbilical incision

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • Intussusception is a common surgical emergency in children.
  • Manual reduction may be necessary when non-surgical methods fail.

Purpose of the Study:

  • To compare the safety and efficacy of open transumbilical intussusception reduction (OTIR) versus laparoscopic reduction (LAP).

Main Methods:

  • Prospective randomized trial of clinically stable children with intussusception who failed pneumatic reduction.
  • Comparison of reduction rates, complications, operative times, and costs between OTIR and LAP groups.

Main Results:

  • OTIR group (n=27): 22 successful reductions, mean operative time 47.7 min, mean cost $1259.74.
  • LAP group (n=24): 5 conversions to open surgery, mean operative time 68.63 min, mean cost $1750.63.
  • No severe complications in either group.

Conclusions:

  • OTIR is as safe and effective as LAP for pediatric intussusception reduction.
  • OTIR demonstrates shorter operative times and lower costs compared to LAP.
  • OTIR presents a viable and cost-effective treatment option for intussusception in children.