Endoscopic treatment of intestinal malrotation in newborns and infants

Kozlov, Yu. A.; Novozhilov, V. A.; Распутин, А А; Ус, Г П; Kuznetsova, N. N.; Pakelchuk, A.

doi:10.17116/hirurgia2016434-39

Cited by 11 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although a rapid postoperative recovery of peristalsis after laparoscopic surgery has been reported in many studies [ 8 , 11 , 13 ], we did not find that the laparoscopic group had a significant advantage in postoperative intestinal function recovery in our study as the other reports [ 14 , 15 ]. Our method of judging the recovery of bowel function is by the time of the first defecation after surgery.…”

Section: Discussioncontrasting

confidence: 82%

See 1 more Smart Citation

Laparoscopic vs open Ladd’s procedure for malrotation in neonates and infants: a propensity score matching analysis

Xie

Wang

et al. 2022

BMC Surg

View full text Add to dashboard Cite

Background Laparoscopic Ladd’s procedure for malrotation in children is still a controversial approach. Although some retrospective studies have compared the outcomes of the two types of procedure with inconsistency outcomes. Currently, there are few large-scale studies on laparoscopic treatment in malrotation with neonates and infants. We did a study based on propensity score matching to compare the effects of the two kinds of approach in neonates and infants. To investigate the therapeutic effect of laparoscopy and open Ladd’s procedure by the propensity score-matching (PSM) to enhance the validity of the comparison. Methods A total series of 143 cases of intestinal malrotation without intestinal necrosis was included in the study during the 8 years from January 2012 to January 2020, including 68 cases of open Ladd’s procedure and 75 cases of laparoscopic Ladd’s procedure including five cases of transfer laparotomy. By a propensity score 1:1 matching, 62 patients were stratified for each group. Results and conclusion There was no significant difference in volvulus degree, weight and gender between the two groups (p > 0.05). Laparoscopic surgery took more time than open surgery (105.9 min vs 70.6 min, p < 0.05), but it had less hospital stay (12.4 days vs 14.6 days, p < 0.05) or less incision infection (0 vs 6, p < 0.05). There was no significant difference between the two groups at the time of first defecation, blood loss, time of full feeding and reoperation (p > 0.05). The cosmetic effect of laparoscopic surgery is better than that of open surgery. Laparoscopic Ladd’s procedure is a safe approach. It can reduce the length of hospital stay and incision infection, but the operation time was extended, the other complications are similar compared with open procedure for intestinal malrotation in neonates and infants.

show abstract

Section: Discussioncontrasting

confidence: 82%

“…At the same time, we found that the operation time of laparoscopic surgery was longer than that of open surgery group. Many studies have the same opinion [ 13 , 16 , 17 ]. Our operation time is similar to the previous study [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic vs open Ladd’s procedure for malrotation in neonates and infants: a propensity score matching analysis

Xie

Wang

et al. 2022

BMC Surg

View full text Add to dashboard Cite

show abstract

“…[24,25] Laparoscopy is more popular because it results in smaller wounds, less pain, less time in surgery, less blood loss during surgery, a shorter stay in hospital, and fewer problems than traditional laparotomy. [26][27][28][29][30] It is difficult to delay surgical exploration after the detection of pneumoperitoneum in patients exhibiting signs of illness and abdominal exam results indicating NEC, the most common cause of perforation, because it is vital to rule for visceral rupture. Pneumoperitoneum evaluation, on the other hand, follows a protocol developed by Karaman et al [27,28]that includes a thorough history of cardiopulmonary resuscitation (CPR), intubation and breathing, a physical exam to search for macrosiphum, as well as a number of diagnostic methods.…”

Section: Discussionmentioning

confidence: 99%

Compare the Outcomes of Laparotomy Versus Laparostomy Tube in Neonates Presented with Pneumoperitoneum

Pandit¹,

Pandit²,

Mahmood³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

Open versus laparoscopic approach for intestinal malrotation in infants and children: a systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

Comparative but non-randomized studies indicate that laparoscopic Ladd's procedure is not commonly performed in young children. Although one third of laparoscopic procedures is converted to open surgery, laparoscopy is associated with shorter time to full enteral feeds and length of hospital stay. However, laparoscopic Ladd's procedure seems to have higher incidence of post-operative volvulus. Prospective randomized studies with long follow-up are needed to confirm present outcome data and determine the safety and effectiveness of the laparoscopic approach.

show abstract

Endoscopic treatment of intestinal malrotation in newborns and infants

Abstract: Our results showed that endoscopic correction of congenital anomalies of intestinal rotation provides better postoperative results than open surgery and can be widely used in young children.

Cited by 11 publications

References 26 publications

Laparoscopic vs open Ladd’s procedure for malrotation in neonates and infants: a propensity score matching analysis

Laparoscopic vs open Ladd’s procedure for malrotation in neonates and infants: a propensity score matching analysis

Compare the Outcomes of Laparotomy Versus Laparostomy Tube in Neonates Presented with Pneumoperitoneum

Open versus laparoscopic approach for intestinal malrotation in infants and children: a systematic review and meta-analysis

Contact Info

Product

Resources

About