title: Laparoscopic treatment of intestinal malrotation in children.
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.
authors.affiliation: Department of Pediatric Surgery, University Children's Hospital Wilhelmina, P.O. Box 18009, 3501 CA Utrecht, The Netherlands.
authors.forename: N M
authors.initials: NM
authors.lastname: Bax
authors.forename: D C
authors.initials: DC
authors.lastname: van der Zee
mesh_terms: D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000601:surgery*; D010535:Laparoscopy; D012399:Rotation; D016896:Treatment Outcome