{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:32:20Z","timestamp":1785763940470,"version":"3.56.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intestinal malrotations with midgut volvulus are surgical emergencies that can lead to life-threatening intestinal necrosis. This study evaluates the feasibility and the outcomes of laparoscopic treatment of midgut volvulus compared with classic open Ladd's procedure in neonates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      The medical records of all neonates with diagnosis of malrotation and volvulus, who underwent surgery between January 1993 and January 2014, were reviewed. We considered the group of neonates laparoscopically treated (Group A,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200920) and we compared it with an equal number of neonates treated with the classical open Ladd's procedure (Group B,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200920).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The median age at surgery was 8.4 days and the mean weight was 3.340\u2009kg. The suspicion of volvulus was documented by plain abdominal radiograph, upper gastrointestinal contrast study, and\/or ultrasound scanning of the mesenteric vessels. All the patients were treated according to the Ladd's procedure. Conversion to an open procedure was necessary in 25% of the patients. The mean operative time was 80 minutes (28\u2013190 minutes) in Group A and 61 minutes (40\u2013130 minutes) in Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.04). The median time to full diet (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.02) and hospital stay (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.04) was better in Group A. Rehospitalization because of recurrence of occlusive symptoms occurred in 30% of patients in Group A (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20096) and in 40% of patients in Group B (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098). Among these, all the 6 patients of Group A underwent redo surgery for additional division of Ladd's bands or debridement; instead in Group B, 4 of 8 patients underwent open redo surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Laparoscopic exploration is the procedure of choice in case of suspicion of intestinal malrotation and volvulus. Laparoscopic treatment is feasible and safe even in neonatal age without additional risks compared with classical open Ladd's procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2015.0544","type":"journal-article","created":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T15:21:42Z","timestamp":1483629702000},"page":"318-321","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Intestinal Malrotation and Volvulus in Neonates: Laparoscopy Versus Open Laparotomy"],"prefix":"10.1177","volume":"27","author":[{"given":"Luisa","family":"Ferrero","sequence":"first","affiliation":[{"name":"University Hospitals","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosra Ben","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Lapeyronie University Hospital","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Philippe","sequence":"additional","affiliation":[{"name":"University Hospital","place":["Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Reinberg","sequence":"additional","affiliation":[{"name":"University Hospital","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Lacreuse","sequence":"additional","affiliation":[{"name":"University Hospitals","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Schneider","sequence":"additional","affiliation":[{"name":"University Hospitals","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Moog","sequence":"additional","affiliation":[{"name":"University Hospitals","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Gomes-Ferreira","sequence":"additional","affiliation":[{"name":"University Hospital","place":["Luxembourg"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Becmeur","sequence":"additional","affiliation":[{"name":"University Hospitals","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,3,1]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Houben JJ Ickx B Closset J Widera I Pardou A. Presented at the III Annual Conference of the Groupement d'Etude de Coeliochirurgie Infantile 12 June 1993 Nice."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-9029-0"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050284"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90447-X"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.11.020"},{"key":"e_1_3_2_7_2","doi-asserted-by":"crossref","unstructured":"Pierro A Ong EG. Malrotation. In: Puri P Hollwart ME (eds). Pediatric Surgery. 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Surg Gynecol Obstet, 1974; 138:181\u2013184.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_3_2_15_2","first-page":"1","article-title":"Comparison of late results in patients with corrected intestinal malrotation with and without fixation of the mesentery","volume":"15","author":"Tauffer UG","year":"1980","unstructured":"Tauffer UG, , Hermann P. Comparison of late results in patients with corrected intestinal malrotation with and without fixation of the mesentery. 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