title: Transabdominal manually assisted reduction of pediatric intussusception: reappraisal of this historical technique.
abstract: OBJECTIVE
  To determine whether manual manipulation of the abdomen during intussusception reduction improves the success rate or affects morbidity.
  
  
  METHODS
  A retrospective study was performed in 38 cases of intussusception in 35 children over a 33-month period at a pediatric hospital. In all cases, pneumostatic pressure was used as the initial method of treatment. A comparative review of the intussusception literature was also performed.
  
  
  RESULTS
  Reduction was achieved with pneumostatic pressure alone in 22 cases (an initial success rate of 58%). Transabdominal manual manipulation was used in 10 cases after initial pneumostatic reduction failed; seven of these 10 cases were treated successfully. These seven additional successes, attributed to manual assistance, significantly improved the success rate from 58% to 76% (P < .016). No perforation or other complication occurred.
  
  
  CONCLUSIONS
  These results and findings of the literature review indicate that transabdominal manual assistance during reduction is a potentially useful technique that has been shunned without scientific basis for longer than 40 years.
authors.affiliation: Department of Radiology, Children's Hospital of the King's Daughters, Norfolk, Va.
authors.forename: S N
authors.initials: SN
authors.lastname: Grasso
authors.forename: M E
authors.initials: ME
authors.lastname: Katz
authors.forename: H J
authors.initials: HJ
authors.lastname: Presberg
authors.forename: D P
authors.initials: DP
authors.lastname: Croitoru
mesh_terms: D000399:Air Pressure; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007443:Intussusception / Q000628:therapy*; D008297:Male; D008722:Methods; D012189:Retrospective Studies