Laparoscopic Ladd Procedure for the Management of Malrotation and Volvulus

2020 ◽  
Vol 30 (2) ◽  
pp. 210-215
Author(s):  
Wendy Jo Svetanoff ◽  
Justin A. Sobrino ◽  
Joseph A. Sujka ◽  
Shawn D. St. Peter ◽  
Jason D. Fraser
Keyword(s):  
Ladd Procedure

scholarly journals Risk factors for intestinal obstruction after Ladd procedure

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Tetsuya Mitsunaga ◽  
Takeshi Saito ◽  
Keita Terui ◽  
Mitsuyuki Nakata ◽  
Sachie Ohno ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intestinal Obstruction ◽  
Digestive Disease ◽  
Intestinal Ischemia ◽  
The Other ◽  
Common Complication ◽  
Initial Operation ◽  
Ladd Procedure ◽  
Increased Risk ◽  
Causes And Risk Factors

Intestinal obstruction is a common complication after Ladd procedure. Ninety-three cases who had undergone the Ladd procedure between 1977 and 2013 treated at our own institution were retrospectively reviewed to identify the causes and risk factors for intestinal obstruction. The Ladd procedure has been performed without any intestinal fixing. Of the 87 cases who survived to discharge, intestinal obstruction was observed in 22 (25.3%). Among the cases with intestinal obstruction, 13 (59.1%) showed intestinal ischemia at the initial operation; this incidence was notably high, although it is low when only those cases with another concurrent surgical digestive disease are considered. All cases of intestinal obstruction were caused not by recurrent volvulus, but by adhesion between the intestine and the mesentery. Intestinal fixing is not required to prevent recurrent volvulus, but it is important to achieve adequate widening of the mesenteric base. The risk of intestinal obstruction after the Ladd procedure, on the other hand, is high. Moreover, patients with intestinal ischemia have an increased risk of intestinal obstruction.

scholarly journals Impact of gastrointestinal comorbidities in patients with right and left atrial isomerism

2021 ◽  
pp. 1-8
Author(s):  
Anastasia Fotaki ◽  
Victoria L. Doughty ◽  
Winston Banya ◽  
Stefano Giuliani ◽  
Sarah Bradley ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Left Atrial ◽  
Right Atrial ◽  
Medium Term ◽  
Heterotaxy Syndrome ◽  
Term Survival ◽  
Ladd Procedure ◽  
Atrial Isomerism ◽  
The Impact ◽  
Gastrointestinal Abnormalities

Abstract Background and aim: Heterotaxy syndrome, being right atrial isomerism (RAI) or left atrial isomerism (LAI), often presents with Congenital Heart Disease (CHD). Intestinal abnormalities, including malrotation are common. We assessed the spectrum of gut abnormalities and their impact on medium-term outcome in a cohort of patients with fetal and postnatal diagnoses of heterotaxy syndrome. Methods: We reviewed the cardiology records of heterotaxy syndrome patients from two centres, regarding the presence of CHD, time for cardiac intervention, presence of gastrointestinal abnormalities, and type/time of surgery. A questionnaire about gastrointestinal status was sent to patients <18 years old. Kaplan–Meier curves were derived for survival data and freedom from intervention. Results: Data were included for 182 patients (49 RAI and 133 LAI) of 247 identified. Questionnaires were sent to 77 families and 47 replied. CHD was present in all RAI and 61.7% of LAI cases. Thirty-eight patients had abdominal surgery (20.9%), similar for RAI and LAI (20.4% versus 21%, p> 0.99): Ladd procedure in 17 (44.7%), non-Ladd in 12 (31.5%), and both procedures in 9 (23.7%). Ten-year freedom from Ladd procedure for all was 86% for the whole cohort (RAI = 87%; LAI = 85%, p = 0.98). Freedom from any gastrointestinal surgery at 10 years was 79% for the whole cohort (RAI = 77%; LAI = 80%, p = 0.54). Ten-year freedom from cardiac surgery was 31% for the whole cohort (RAI = 6%; LAI = 43%, p < 0.0001). Conclusions: In our cohort, one in five patients required abdominal surgery, mostly in their first year of life, similar for RAI and LAI. Between 1 and 10 years of follow-up, the impact of gastrointestinal abnormalities on outcome was minimal. Medium term survival was related to CHD.

Predictors of Bowel Resection During Nonelective Ladd Procedure for Pediatric Malrotation

2019 ◽  
Vol 243 ◽  
pp. 419-426 ◽  
Author(s):  
Woo S. Do ◽  
Christopher W. Marenco ◽  
John D. Horton ◽  
Mauricio A. Escobar
Keyword(s):  
Bowel Resection ◽  
Ladd Procedure

Intussusception Following the Ladd Procedure

2000 ◽  
Vol 135 (6) ◽  
pp. 713 ◽  
Author(s):  
Joe Kidd
Keyword(s):  
Ladd Procedure

scholarly journals Heterotaxy Syndrome Infants Are at Risk for Early Shunt Failure After Ladd Procedure

2015 ◽  
Vol 99 (3) ◽  
pp. 918-925 ◽  
Author(s):  
Shawndip Sen ◽  
Jennifer Duchon ◽  
Brooke Lampl ◽  
Gudrun Aspelund ◽  
Emile Bacha ◽  
...  
Keyword(s):  
At Risk ◽  
Shunt Failure ◽  
Heterotaxy Syndrome ◽  
Ladd Procedure

scholarly journals Laparoscopic Ladd Procedure for Intestinal Malrotation with Midgut Volvulus in an Adult

2017 ◽  
Vol 50 (2) ◽  
pp. 139-145
Author(s):  
Atsushi Watanabe ◽  
Susumu Miyazaki ◽  
Chu Matsuda ◽  
Katsuki Danno ◽  
Rie Nakatsuka ◽  
...  
Keyword(s):  
Intestinal Malrotation ◽  
Midgut Volvulus ◽  
Ladd Procedure

Heterotaxy syndrome and intestinal rotational anomalies: Impact of the Ladd procedure

2015 ◽  
Vol 50 (10) ◽  
pp. 1695-1700 ◽  
Author(s):  
Arash Salavitabar ◽  
Brett R. Anderson ◽  
Gudrun Aspelund ◽  
Thomas J. Starc ◽  
Wyman W. Lai
Keyword(s):  
Heterotaxy Syndrome ◽  
Ladd Procedure

Endoscopic Appendectomy in a Patient with Malrotation and Previous Ladd Procedure

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S971-S972
Author(s):  
Sarah Buckley ◽  
Alicia Gaidry ◽  
Romeo Ignacio ◽  
Joseph Cheatham
Keyword(s):  
Ladd Procedure

scholarly journals Management and Outcomes of Malformations Associated with Intestinal Malrotations in Newborns: About 5 Cases

2021 ◽  
Vol 5 (5) ◽  
Author(s):  
Monsoïa Gildas Yassegoungbe ◽  
Médard Ayawo Guedenon ◽  
Géraud Garcia Philemon Satingo Segbedji ◽  
Codjo Serge Metchihoungbe ◽  
Mahussi Henok Orion Akokpe ◽  
...  
Keyword(s):  
Intestinal Anastomosis ◽  
Intestinal Atresia ◽  
The Other ◽  
Intestinal Loop ◽  
Jejunal Atresia ◽  
Ladd Procedure ◽  
Embryonic Life ◽  
End To End ◽  
Multiple Intestinal Atresia ◽  
Fatal Complications

Bowel malrotation is an abnormality in the rotation of the primary intestinal loop during embryonic life. It is a severe abnormality exposing the patient to fatal complications. We report here a series of five patients presenting digestive malrotation with various malformative associations. The first three cases are multiple intestinal atresia on incomplete common mesentery. They underwent an intestinal anastomosis: end-lateral duodeno-ileal for one and end-to-end jejuno-jejunal for the other two with Ladd procedure. In the latter two cases, the omphalocele was the associated malformation; complications such as rupture of the omphalocele with intestinal perforation for one and occlusion by strangulation at the level of the neck for the other were recorded. Ileal resection removing the perforation with end-to-end ileo-ileal anastomosis was performed for the first, while reduction of strangulation at the origin of the occlusion was sufficient for the second. The LADD procedure was the complementary gesture in all cases. The outcome was favorable in 3 cases; two of the newborns who had jejunal atresia died, one on day 5 in a picture of acute respiratory distress, the other on day 6 in a picture of disseminated intravascular coagulation.

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