Laparoscopic transsection of Ladd's bands: a new indication for therapeutic laparoscopy in neonates
Fernández, M.S.; Vila, J.J.; Ibáñez, V.; Lluna, J.; Barrios, J.E.; Gutiérrez, C.; Roca, A.; García-Sala, C.
Cirugia Pediatrica Organo Oficial de la Sociedad Espanola de Cirugia Pediatrica 12(1): 41-43
1999
ISSN/ISBN: 0214-1221 PMID: 10198550 Document Number: 504548
Within the last ten years and by the introduction of some new instruments, laparoscopy is a safe and effective method that has been further extended in children. We report our experience in the treatment of laparoscopy on a seven day old newborn affected by malrotation with an intermittent duodenal obstruction. The treatment consisted of a duodenal liberation after the section was easily performed in congenital Ladd's bands. The spiral twists of the small intestine found in the upper gastrointestinal series, disappeared in a new study done after surgery. We consider this operation as a new indication for an operative laparoscopy. It allows a good visualization of this congenital abnormality, and it is easy to perform with a significantly reduced operative trauma.