At surgery, the preferred strategy of treating an intussusception is to dessuscept, if safe to do so. If successful, the polyp that acts as a hypomochlion should be removed by enterotomy with resection of the (pedunculated) polyp at the base. In addition, the entire small bowel should be critically inspected for further relevant polyps, and all polyps > 15 mm should be removed by enterotomy or by intraoperative enteroscopy. Depending on the distance between the polyps, an enterotomy in between polyps allowing for removal of multiple polyps via one enterotomy is preferred. Level of evidence: moderate/low Strength of recommendation: strong |