Laparoscopic Repair of a Duodenal Atresia and Ladd's Procedure in a Neonate with Malrotation

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
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Author: American Pediatric Surgical Association
Published:
Specialties: Pediatric Surgery
Schools:
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Basic Info

From the APSA 2011 Annual Meeting proceedings

LAPAROSCOPIC REPAIR OF A DUODENAL ATRESIA AND LADDâS PROCE DURE IN A NEONATE WITH MALROTATION

Author:

  • Steven S. Rothenberg
    The Rocky Mountain Hospital For Children, Denver, CO, USA

Purpose
To demonstrate current refinements of technique in performing a duodenal anastomosis in a neonate with duodenal atresia. This work is IRB exempt.

Methods
A 33 week premature infant with a prenatal diagnosis of Duodenal atresia was explored laparoscopically on day two of life for repair. The patients weight was 2 Kg. Two 3mm ports and one 4mm port were used for the procedure. The patient was also found to have malrotation at the time of surgery. The procedure consisted of a Laddâs procedure and duodenoduodenostomy. Techniques of abdominal wall retraction sutures are demonstrated.

Results
The procedure was completed successfully laparoscopically. The procedure took 60 minutes. An NG tube was used for 5 days and feeds were started on post-op day 6.

Conclusions
This video demonstrates that a laparoscopic duodenoduodenostomy and Laddâs procedure is efficacious and safe even in a small premature.

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