Volume 13, Numbers 2-3, 184-185, DOI: 10.1007/s003830050284

Laparoscopic appendectomy and duodenocolonic dissociation (LADD) procedure for malrotation

M. S. Lessin and F. I. Luks

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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.

Key words Malrotation - Ladd's bands - Laparoscopy - Midgut volvulus

Accepted: 20 January 1997

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