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Malrotation Correction in the Adult Population
Joseph G Brungardt1, Sean C Liebscher2, Kurt P Schropp2
1Department of Surgery, The University of Kansas, 4000 Cambridge, M/S 2005, Kansas City, KS, 66160, USA. joseph.brungardt@gmail.com.
World Journal of Surgery
|September 25, 2020
Summary
Adults undergoing the Ladd procedure for malrotation showed similar outcomes whether or not an appendectomy was performed. This study provides key data on adult malrotation surgical correction outcomes.
Area of Science:
- Surgical Outcomes
- Gastrointestinal Surgery
- Congenital Anomalies
Background:
- Malrotation is a congenital anomaly primarily affecting pediatric patients.
- The Ladd procedure is the standard surgical treatment for malrotation.
- Limited data exists on adult demographics and outcomes following the Ladd procedure.
Purpose of the Study:
- To analyze demographics and outcomes of adult patients undergoing surgical correction for malrotation.
- To compare outcomes of the Ladd procedure with and without an incidental appendectomy in adults.
Main Methods:
- Analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database (2015-2018).
- Inclusion of adult patients with a post-operative diagnosis of malrotation who underwent surgical correction.
- Exclusion of patients who underwent other major procedures; comparison of outcomes including mortality, length of stay, and readmission rates.
Main Results:
- 220 adult patients undergoing surgical correction for malrotation were identified.
- 49.55% of patients also underwent an appendectomy; 68.18% were female.
- No statistically significant differences in 30-day mortality, length of stay, readmission rates, or wound infection between groups.
Conclusions:
- The study characterizes adult demographics and outcomes for the Ladd procedure.
- Immediate surgical outcomes appear equivalent regardless of whether an incidental appendectomy is performed.
- Further research is needed to fully understand the adult population with malrotation.
