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- Title
Neonatal laparoscopic Ladd's procedure can safely be performed even if the bowel shows signs of ischemia.
- Authors
Adikibi, Boma T; Strachan, Caroline L; MacKinlay, Gordon A
- Abstract
In this we describe two cases of neonatal malrotation with volvulus treated laparoscopically in our institution.CASE 1: A term baby girl was presented on day 3 of life with malrotation and volvulus. On inspection laparoscopically,the cecum was lying in a subhepatic position to the left of the midline. The small bowel was lying on the right, and there was a 180-degree rotation of the bowel. The rotated bowel was viable and of good color.The bowel was derotated, Ladd's bands divided, and the mesentery broadened. She was up to full feeds by postoperative day 2 and was discharged home on the 3rd day postsurgery.CASE 2: A baby boy presented with malrotation and volvulus on day 11 of life. At laparoscopy, there was freechyle in the peritoneal cavity and a midgut volvulus with an ischemic appearing bowel (with the exception of stomach duodenum and descending colon). The bowel was derotated, the ischemic bowel was returned to a healthy color, and Ladd's bands were divided and the root of the mesentery broadened. On post-operative day 2, he was commenced on feeds (expressed breast milk), and by post-operative 4, the baby was tolerating fullfeeds.
- Publication
Journal of laparoendoscopic & advanced surgical techniques. Part A, 2009, Vol 19 Suppl 1, pS167
- ISSN
1092-6429
- Publication type
Journal Article
- DOI
10.1089/lap.2008.0153