Laparoscopic appendectomy and duodenocolonic dissociation (LADD) procedure for malrotation

Pediatr Surg Int. 1998 Mar;13(2-3):184-5. doi: 10.1007/s003830050284.

Abstract

The treatment of "asymptomatic" intestinal malrotation remains controversial, particularly beyond the neonatal period. Two cases illustrate the application of laparoscopy for correction of malrotation: one in an older child and another in an asymptomatic infant. Both patients recovered well and were discharged 2 days after surgery. Laparoscopic appendectomy and duodenocolonic dissociation allows excellent visualization of the duodenocolic and Ladd's bands and easily accommodates appendectomy. The availability of this minimal-access technique should encourage correction of malrotation in the asymptomatic patient.

Publication types

  • Case Reports

MeSH terms

  • Appendectomy / methods*
  • Child
  • Colon / surgery
  • Duodenum / surgery
  • Humans
  • Infant, Newborn
  • Intestinal Diseases / surgery*
  • Intestine, Small / abnormalities*
  • Laparoscopy*
  • Male
  • Rotation
  • Tissue Adhesions / surgery