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LAPAROSCOPIC LADD’S PROCEDURES IN CHILDREN OF THE FIRST SIX MONTHS OF LIFE WITH MALROTATION SYNDROME WITHOUT MIDGUT VOLVULUS


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Abstract

The aim of this work is to evaluate the experience of Ladd’s laparoscopic operations in malabsorption syndrome (SM) without midgut volvulus in children aged 1-6 months. Materials and methods. The manifestations of pathology in all patients were clinical signs of recurrent duodenal obstruction. The diagnosis was confirmed by ultrasound Doppler, contrast study of the upper gastrointestinal tract, irrigography, and fibrogastroduodenoscopy. The age of children at the time of surgical treatment was from 36 ± 142 days; body weight was 4100 ± 6800 g. Results. Laparoscopic Ladd’s operation was performed on 6 patients. Concomitant pathology in the form of gastroesophageal reflux was found in 1 case. The operation time was 76 ± 125 minutes. There were no conversions per open transaction. The average length of hospital stay is ten days. Discussion. Our experience in performing Ladd’s laparoscopic operations in children of the first six months of life without midgut volvulus shows their high efficiency and safety. To determine the significance of these operations in pediatric surgeons’ practice, it is necessary to accumulate experience and further research.


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