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Duodenal Atresia
Everything in the library about duodenal atresia — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Surgical Management
2 items
Technique: Laparoscopic Repair of Duodenal Atresia, Ladd's Procedure, and...
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Laparoscopic Repair of Duodenal Atresia, Ladd's Procedure, and Meckel's Diverticulectomy in a Newborn using Just Right stapler by Dr. Steven Rothenberg.
video15:01 · Nov 2018
Duodeno-duodenostomy for Duodenal Atresia
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In this video, duodeno-dudenostomy diamond anastomsis for duodenal atresia is demonstrated. The patient is a 2 day old boy that is presented with greenish vomiting since birth. Exploration revealed complete duodenal atresia type three and m
video7:04 · Jun 2021
Evidence & Research
1 item
BOB in Ped Surg 2023 - CIPESUR Winner - Georgina Falcioni, MD
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Watch the CIPESUR winner, Georgina Falcioni, MD, present her presentation on "Comparative effectiveness of Telesimulation vs standard simulation for MIS essential skills training."
video · Feb 2023
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Duodeno-duodenostomy for Duodenal Atresia
The patient is a two-day-old boy with duodenal atresia.
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A transverse right abdominal incision allows access to the duodenum and small intestine.
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Malrotation is present in this case.
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Duodenal atresia type III is present in this case.
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The proximal duodenal opening is made at the most dependent part.
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The distal limb is opened on the anterolateral surface to avoid injury to the opening of the common bile and pancreatic ducts.
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Bile coming out on opening of the distal limb confirms patency to that point.
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The diamond-shaped technique creates two openings with perpendicular axes.
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Distal patency is checked by injecting saline and observing its filling to the whole bowel.
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The anastomosis technique uses two opposing borders of the diamonds to make the posterior wall and the far-facing borders to make the anterior wall.
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The posterior wall is sutured from the inside with full-thickness sutures.
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The anterior wall is sutured from the outside.
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5-0 absorbable sutures are used for the anastomosis.
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Suturing starts with the middle of the posterior wall and advances toward the angles with interrupted sutures.
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The angle suture is placed from the outside in an extramucosal fashion.
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The anterior wall sutures are placed in an extramucosal fashion starting from the angles and working towards the middle.
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The proximal dilated pouch is brought downwards to meet the distal limb during anterior wall closure.
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Widening of the root of the mesentery is performed after completing the anastomosis.
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The superior mesenteric vessels should be visualized during mesenteric root widening.
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The peritoneal covering is carefully dissected to allow adequate widening of the mesenteric root.
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Appendectomy is performed as part of the procedure.
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The bowel is returned to the abdomen with the colon in the left side and the duodenojejunal junction in a straight direction.
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Technique: Laparoscopic Repair of Duodenal Atresia, Ladd's Procedure, and...
The patient is a 1 day old infant who had a prenatal diagnosis of duodenal atresia
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Port placements consist of a 4 millimeter scope in the umbilicus, a 3 millimeter port in the left mid quadrant, and a 3 millimeter stab wound in the right mid quadrant, triangulated towards the right upper quadrant
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The 3 millimeter sealer is an excellent dissecting device and can be used in safe energy in close approximation to both the gallbladder and the small bowel
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A transabdominal stitch using a 30 Prolene on an RB1 needle is placed through the anterior abdominal wall in the right upper quadrant to retract the gallbladder superiorly
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The child is malrotated with a complete duodenal atresia
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The bowel is run from proximal to distally to ensure that there are no further Ladd's bands and to completely de-rotate the bowel
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A Meckel's diverticulum is found in the distal ileum during the procedure
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All of the small bowel is placed on the patient's right and the large bowel on the patient's left
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