Intussusception recurrence rates are ≈6% to 27%, and recurrence is usually observed 3 days to 3 weeks postsurgery.1 Recurrence typically affects the segment immediately proximal to the previous intussusception site.2 Enteroplication reduces the risk for intussusception recurrence by creating permanent adhesions between adjacent loops of intestine. Enteroplication is completed by preparing the intestines using manual reduction or resection and anastomosis of compromised bowel. After the intestines have been prepared, adjoining segments should be placed side by side in a zigzag pattern with care not to create kinks or sharp bends. The adjacent loops should be sutured together with either absorbable or nonabsorbable suture and should penetrate the submucosal layer midway between the mesenteric and antimesenteric borders to ensure a secure hold. Complete plication encompasses plication of the jejunum to the ileum; the duodenum should not be included because it is rarely involved with intussusception.3
Enteroplication can be performed immediately after reduction if the affected segment appears viable and without obvious pathology; however, enteroplication should only be performed in select cases (eg, spontaneous reduction intussusception in young dogs, presence of hyperperistalsis during surgery, cases involving multiple or recurrent intussusception)3 because of the risk for complications. The procedure has been associated with abdominal discomfort, vomiting/diarrhea, hyporexia, constipation, increased risk for future obstructions, bowel strangulation, and intra-abdominal abscess formation.3