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1Department of Paediatric Surgery, Alexandria Hospital for Sick Children, Health Insurance Authority, Alexandria, Egypt.
Insights
Infants with intestinal malrotation often show bilious emesis. Laparoscopic Ladd's procedure offers a successful treatment for this congenital condition in infants.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Congenital Abnormalities
Background:
- Intestinal malrotation is a congenital anomaly presenting with symptoms like bilious emesis in infants.
- Diagnosis typically involves an upper gastrointestinal barium study, identifying abnormal positioning of the ligament of Treitz.
Purpose of the Study:
- To report the successful application of laparoscopic Ladd's procedure in infants diagnosed with intestinal malrotation.
Main Methods:
- Review of three pediatric cases of intestinal malrotation admitted between March 2006 and May 2007.
- Surgical intervention using the laparoscopic Ladd's procedure was performed on all patients.
Main Results:
- The laparoscopic Ladd's procedure was successfully completed in all three infant patients.
- Patients' ages ranged from three weeks to eight months, with weights from 3 to 8 kg.
Conclusions:
- Laparoscopic Ladd's procedure is a viable and effective surgical option for treating intestinal malrotation in infants.
- Minimally invasive surgery can be successfully applied to correct this congenital gastrointestinal anomaly in pediatric patients.
Abstract:
Infants with intestinal malrotation present with bilious emesis and the diagnosis is generally obtained by an upper gastrointestinal barium study. Malrotation is suspected if the ligament of Treitz is not positioned to the left of the vertebral body. Three patients were admitted to our department from March 2006 to May 2007, aged three weeks, one month and eight months, weighing 3,3.200 and 8 kg respectively to whom laparoscopic Ladd's procedure was done successfully.
