[Laparoscopic transsection of Ladd's bands: a new indication for therapeutic laparoscopy in neonates].
Within the last ten years and by the introduction of some new instruments, laparoscopy is a safe and effective method that has been further extended in children. We report our experience in the treatment of laparoscopy on a seven day old newborn affected by malrotation with an intermittent duodenal obstruction. The treatment consisted of a duodenal liberation after the section was easily performed in congenital Ladd's bands. The spiral twists of the small intestine found in the upper gastrointestinal series, disappeared in a new study done after surgery. We consider this operation as a new indication for an operative laparoscopy. It allows a good visualization of this congenital abnormality, and it is easy to perform with a significantly reduced operative trauma.
Fernández
M S
MS
Departamento de Cirugía Pediátrica, Hospital Infantil La Fe, Valencia.
Vila
J J
JJ
Ibáñez
V
V
Lluna
J
J
Barrios
J E
JE
Gutiérrez
C
C
Roca
A
A
García-Sala
C
C
D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery*; D004386:Duodenum / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D008297:Male