Risk Factors for Postoperative Volvulus and its Laparoscopic Management Following Laparoscopic Ladd's Procedure in Pediatric Patients With Intestinal Malrotation: A Single-center, Retrospective Cohort Study

jpedsurg.org

Laparoscopic Ladd's procedure (LL) for intestinal malrotation remains controversial, owing to a higher postoperative volvulus rate than that associated with open management. We aimed to identify risk factors for postoperative volvulus after LL in pediatric patients with intestinal malrotation and evaluate the outcomes of redo LL in recurrent cases.

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Article · Apr 2025 · 1 min read

In brief

This retrospective study examines risk factors for volvulus recurrence after laparoscopic Ladd's procedure in children with intestinal malrotation, addressing concerns about higher complication rates versus open surgery. The research also evaluates outcomes when repeat laparoscopic intervention is needed for recurrent cases.

Laparoscopic Ladd's procedure has higher postoperative volvulus rates compared to open surgery in malrotation cases
Identifying risk factors for post-LL volvulus is critical for patient selection and surgical planning
Redo laparoscopic Ladd's procedure is feasible for managing recurrent volvulus after initial laparoscopic repair
Single-center retrospective analysis can guide evidence-based approach to laparoscopic vs open technique selection

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