Li N, Bao Q, Yuan J, et al. - The safety and efficacy of open transumbilical intussusception reduction (OTIR) vs laparoscopic reduction (LAP) were assessed among 51 children with an intussusception who failed pneumatic intussusception reduction.  The OTIR group comprised  27 patients; among these, 22 intussusceptions were successfully reduced, and 5 required incision extension. The LAP group comprised  24 patients; among these, conversion to open surgery was required in 5 patients. OTIR resolved three of the 5 cases, while incision extension was needed in the other 2. Observations suggest comparable safety and effectiveness of OTIR to LAP with a shorter operative time and lower surgery cost. They suggest OTIR as a good alternative for intussusception reduction in children.