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A new technique in the treatment of intestinal malrotation.
- Source :
-
Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica [Cir Pediatr] 2023 Oct 01; Vol. 36 (4), pp. 191-194. Date of Electronic Publication: 2023 Oct 01. - Publication Year :
- 2023
-
Abstract
- Introduction: Intestinal malrotation is a congenital pathology with potentially catastrophic complications, such as volvulus, whose treatment has barely not changed in nearly 100 years (Ladd's procedure). Dr. Abu-Elmagd recently described a new technique that was applied in one of our patients.<br />Clinical Case: 12-year-old boy who had undergone Ladd's procedure as a result of intestinal volvulus secondary to malrotation when he was 2 days old. He had subocclusion and eventually obstruction, with intestinal volvulus compatible imaging. Intraoperative findings: duodenal subocclusion, volvulus and lymphangiectasias. Kareem's procedure: bowel positioning in normal rotation, duodenopexy (duodenal C posterior to the mesenteric vessels), formation of neo-Treitz, and fixation of the cecum, the ascending colon, and the mesenteric root. The patient was discharged on postoperative day 6 and remains asymptomatic after 1 year of follow-up.<br />Discussion: Kareem's procedure is a safe and effective malrotation repair technique. It can replace Ladd's procedure as it reduces the risk of re-volvulation and improves digestive symptoms.
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 2445-2807
- Volume :
- 36
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica
- Publication Type :
- Report
- Accession number :
- 37818902
- Full Text :
- https://doi.org/10.54847/cp.2023.04.16