You have gained maximum
CME credits this year.
Your CME credits will reset next year. You can still continue to watch our videos.
From the APSA 2011 Annual Meeting proceedings
LAPAROSCOPIC REPAIR OF A DUODENAL ATRESIA AND LADDâS PROCE DURE IN A NEONATE WITH MALROTATION
Author:
Steven S. Rothenberg
The Rocky Mountain Hospital For Children, Denver, CO, USA
Purpose
To demonstrate current refinements of technique in performing a duodenal anastomosis in a neonate with duodenal atresia. This work is IRB exempt.
Methods
A 33 week premature infant with a prenatal diagnosis of Duodenal atresia was explored laparoscopically on day two of life for repair. The patients weight was 2 Kg. Two 3mm ports and one 4mm port were used for the procedure. The patient was also found to have malrotation at the time of surgery. The procedure consisted of a Laddâs procedure and duodenoduodenostomy. Techniques of abdominal wall retraction sutures are demonstrated.
Results
The procedure was completed successfully laparoscopically. The procedure took 60 minutes. An NG tube was used for 5 days and feeds were started on post-op day 6.
Conclusions
This video demonstrates that a laparoscopic duodenoduodenostomy and Laddâs procedure is efficacious and safe even in a small premature.
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Be the first to review this video.
Reviews require sign-in. Sign in to write one.
Have a question about this case? Send a note to Dr. American Pediatric Surgical Association — they'll reply by email.
This is approved for 0.5 AMA PRA Category 1 Credit™ via CineMed (ACCME / ACPE / ANCC). The two viewing modes are different — pick what fits your time.
"*" indicates required fields