Background: Ladd’s procedure is the preferred method of management of Intestinal malrotation and could be performed either by laparotomy or by laparoscopy. A number of studies have described successful management of malrotation using laparoscopic approach. But there are few reports about the safety and feasibility of malrotation management using laparoscopy during the neonatal period. In the present study we aimed to compare the clinical outcomes of a group of neonates with intestinal malrotation and volvulus
who underwent laparoscopic assisted surgical management with a similar group of patients subjected to the classic open Ladd’s approach. Materials and Methods: The current study included thirty neonates who were suspected to have intestinal malrotation and volvulus and underwent surgery in the period from May 2016 to July 2019. We divided our patients into two groups each group included fifteen neonates the first group underwent laparoscopic assisted surgery and the second group underwent classical open Ladd’s approach. We evaluated the patients to detect the clinical outcome. Results: There were no statistically significant differences between both groups regarding; age or sex of the patients, weight at surgery, comorbidity or primary presentation. The operative time for the first group was longer than operative time for the second group (P = 0.021). The duration of hospital stay and duration of starting full oral diet for the first group was shorter than that for the second group (P |
