Skip to main content
Log in

Laparoscopic treatment of intestinal malrotation in children

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background: Laparoscopic treatment of intestinal malrotation in children is difficult, and most of our pediatric surgeon colleagues active in the field of laparoscopic surgery tell us that more often than not they must convert to an open procedure. Initially, we experienced much difficulty too, but after modification we were able to master the technique, and now we feel confident. We here describe the actual technique we use.

Methods: Our experience encompasses nine children treated during the past 18 months. Five of the children presented in the newborn period and four later. During laparoscopic surgery, it is of paramount importance to concentrate not on the loops of bowel, but on the duodenum. By starting to identify the duodenum, mobilizing it, and carrying on the mobilization of the small bowel down until the whole small bowel has been seen, the pathologic anatomy is easily unraveled. Moreover, an existing volvulus is automatically reduced and the bowel automatically put in a nonrotation position in the abdomen.

Results: All patients have done well, and no complications have been noted. Operative time has been reduced to about 1 hour.

Conclusions: Laparoscopic treatment of intestinal malrotation in children is not so difficult provided certain rules, as described, are followed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Author information

Authors and Affiliations

Authors

Additional information

Received: 26 April 1996/Accepted: 31 July 1996

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bax, N.M.A., van der Zee, D.C. Laparoscopic treatment of intestinal malrotation in children. Surg Endosc 12, 1314–1316 (1998). https://doi.org/10.1007/s004649900848

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s004649900848

Navigation