Abstract
This chapter describes the surgical procedure for laparotomy for midgut volvulus as performed by the following approach: open. Indications for this procedure are classically bilious emesis in a child. An upper gastrointestinal contrast study typically confirms the diagnosis of midgut volvulus prior to operative intervention. However, in a child with bilious emesis and peritonitis, often the child is brought directly to the operating room for exploratory laparotomy due to the time-dependent nature of the diagnosis. Risks of the operation include the need for bowel resection, possible ostomy creation, and possible second-look laparotomy. There are no alternatives to surgery in the management of midgut volvulus. Essential steps include derotation of the midgut in a counter clockwise manner, lysis of Ladd’s bands of the duodenum and vascular pedicle, and appendectomy (optional).
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Kelley-Quon, L.I. (2019). Laparotomy for Midgut Volvulus. In: Papandria, D., Besner, G., Moss, R., Diefenbach, K. (eds) Operative Dictations in Pediatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-24212-1_18
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DOI: https://doi.org/10.1007/978-3-030-24212-1_18
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-030-24212-1
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