Abstract
Introduction:
Laparoscopic Ladd's procedure has been described for malrotation without volvulus.
Methods:
A 13-day-old, adjusted gestational age of 34 weeks, male was transferred to our institution with intermittent green aspirates since day 4 of life. After an episode of bilious emesis, an upper gastrointestinal series was performed and demonstrated malrotation with midgut volvulus. Contrast passed through. He was sent to our facility where he was hemodynamically stable with normal laboratories and a benign abdomen. His weight at the time of operation was 1.79 kg.
Results:
Laparoscopic Ladd's procedure was performed without complication. Feeds were started the following day and progressively advanced. His parents requested transfer back to the referring hospital closer to home on postoperative day 5.
Conclusion:
The included video demonstrates that laparoscopic Ladd's procedure can be performed in selected neonates even in the presence of volvulus.
No competing financial interests exist.
Runtime of video: 3 mins 58 secs
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