Common pediatric surgery problems.pdf
Common pediatric surgery problems.pdf
Common pediatric surgery problems.pdf
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Malrotation<br />
Due to abnormal fixation of midgut to<br />
retroperitoneum – leads to narrow base of<br />
mesentery which can easily twist<br />
Ladd Procedure<br />
Reduce volvulus by rotating counterclockwise<br />
Division of Ladd’s bands between cecum and<br />
duodenum/right gutter<br />
Division of adhesions to widen mesentery<br />
Run bowel to r/o obstructions<br />
Appendectomy<br />
Place bowel in nonrotated position
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