Related Experiment Video
Updated: Mar 9, 2026
08:26
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
2.0K
Intestinal Malrotation and Volvulus in Neonates: Laparoscopy Versus Open Laparotomy
Luisa Ferrero1, Yosra Ben Ahmed2, Paul Philippe3
11 Department of Pediatric Surgery, University Hospitals , Strasbourg, France .
Summary
Laparoscopic Ladd's procedure for neonatal midgut volvulus is feasible and safe, offering shorter recovery times compared to open surgery. This approach reduces hospital stay and time to full diet, proving effective for this surgical emergency.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Minimally Invasive Surgery
Background:
- Intestinal malrotation with midgut volvulus presents a critical surgical emergency in neonates.
- Prompt intervention is crucial to prevent life-threatening intestinal necrosis.
Purpose of the Study:
- To evaluate the feasibility and outcomes of laparoscopic treatment for midgut volvulus in neonates.
- To compare laparoscopic Ladd's procedure with the traditional open approach.
Main Methods:
- Retrospective review of neonates diagnosed with malrotation and volvulus between 1993 and 2014.
- Comparison of 20 neonates treated laparoscopically (Group A) with 20 treated via open Ladd's procedure (Group B).
Main Results:
- Laparoscopic Ladd's procedure showed a significantly shorter mean operative time (80 min vs 61 min, P=.04).
- Group A experienced significantly shorter median time to full diet (P=.02) and hospital stay (P=.04).
- Rehospitalization rates for recurrence were 30% in Group A and 40% in Group B.
Conclusions:
- Laparoscopic exploration is the preferred method for suspected intestinal malrotation and volvulus.
- Laparoscopic treatment is a safe and feasible option in neonates, comparable to open Ladd's procedure without increased risks.
