Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report
Sigmoid volvulus is a rare but potentially life-threatening condition in childhood. Colectomy is usually required to prevent recurrent volvulus, which carries a high risk of morbidity and mortality. Here, we report a non-resection method based on the concept of Ladd's procedure to treat a sigmo...
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| Language: | English |
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Elsevier
2009-06-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957209600498 |
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| author | Li-Lan Chiang Hong-Shiee Lai Yen-Hsuan Ni Wen-Ming Hsu |
| author_facet | Li-Lan Chiang Hong-Shiee Lai Yen-Hsuan Ni Wen-Ming Hsu |
| author_sort | Li-Lan Chiang |
| collection | DOAJ |
| description | Sigmoid volvulus is a rare but potentially life-threatening condition in childhood. Colectomy is usually required to prevent recurrent volvulus, which carries a high risk of morbidity and mortality. Here, we report a non-resection method based on the concept of Ladd's procedure to treat a sigmoid volvulus in a 15-year-old boy. After re duction of the volvulus, the distance between the sigmoid-rectal junction and the sigmoid-descending colon junction was widened by dissecting the meso-sigmoid colon along the course of the long axis. No colon resection was performed. The total operation time was less than an hour. The post-operative recovery was uneventful. There was no recurrent volvulus during a follow-up of 1 year. Widening the base of the mesosigmoid according to the concept of Ladd's procedure may be considered as a more simple and safe alternative treatment to prevent recurrent sigmoid volvulus in children. |
| format | Article |
| id | doaj-art-d67f19459c114e38875fc8df424b0141 |
| institution | OA Journals |
| issn | 1875-9572 |
| language | English |
| publishDate | 2009-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-d67f19459c114e38875fc8df424b01412025-08-20T02:04:01ZengElsevierPediatrics and Neonatology1875-95722009-06-0150312913110.1016/S1875-9572(09)60049-8Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case ReportLi-Lan Chiang0Hong-Shiee Lai1Yen-Hsuan Ni2Wen-Ming Hsu3Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanSigmoid volvulus is a rare but potentially life-threatening condition in childhood. Colectomy is usually required to prevent recurrent volvulus, which carries a high risk of morbidity and mortality. Here, we report a non-resection method based on the concept of Ladd's procedure to treat a sigmoid volvulus in a 15-year-old boy. After re duction of the volvulus, the distance between the sigmoid-rectal junction and the sigmoid-descending colon junction was widened by dissecting the meso-sigmoid colon along the course of the long axis. No colon resection was performed. The total operation time was less than an hour. The post-operative recovery was uneventful. There was no recurrent volvulus during a follow-up of 1 year. Widening the base of the mesosigmoid according to the concept of Ladd's procedure may be considered as a more simple and safe alternative treatment to prevent recurrent sigmoid volvulus in children.http://www.sciencedirect.com/science/article/pii/S1875957209600498childrenLadd's proceduresigmoid volvulus |
| spellingShingle | Li-Lan Chiang Hong-Shiee Lai Yen-Hsuan Ni Wen-Ming Hsu Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report Pediatrics and Neonatology children Ladd's procedure sigmoid volvulus |
| title | Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report |
| title_full | Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report |
| title_fullStr | Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report |
| title_full_unstemmed | Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report |
| title_short | Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report |
| title_sort | management of sigmoid volvulus based on ladd s procedure a case report |
| topic | children Ladd's procedure sigmoid volvulus |
| url | http://www.sciencedirect.com/science/article/pii/S1875957209600498 |
| work_keys_str_mv | AT lilanchiang managementofsigmoidvolvulusbasedonladdsprocedureacasereport AT hongshieelai managementofsigmoidvolvulusbasedonladdsprocedureacasereport AT yenhsuanni managementofsigmoidvolvulusbasedonladdsprocedureacasereport AT wenminghsu managementofsigmoidvolvulusbasedonladdsprocedureacasereport |