{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:43:44Z","timestamp":1773269024021,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T00:00:00Z","timestamp":1591747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to assess the efficacy of our simple landmark technique for laparoscopic detorsion and the Ladd\u2019s procedure (lap\u2010Ladd) for malrotation with midgut volvulus in neonates and to identify the risk factors for reoperation after the lap\u2010Ladd.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective chart review of 42 patients after lap\u2010Ladd for malrotation between April 2017 and June 2019. Information regarding patient status and intraoperative and postoperative data were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one patients had volvulus (73.8 %), while 11 patients did not (26.2%). The median age and weight between the two groups at operation were 9\u00a0days (range, 3\u201328\u00a0days), 3.2\u00a0kg (range, 2\u20138\u00a0kg) and 6\u00a0days (range, 2\u201311), 2.9\u00a0kg (range, 2\u20133.8\u00a0kg), respectively. The operative time was significantly shorter in patients with volvulus compared to those without (60 vs 105\u00a0min, <jats:italic>P <\/jats:italic>= 0.002). Two cases were converted to open surgery because of ischemic changes of the total small intestine during surgery. Reoperation was required in two patients with volvulus (due to adhesive small bowel obstruction and recurrent volvulus). There was no significant predictive factor for reoperation after the lap\u2010Ladd procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our simple landmark lap\u2010Ladd procedure demonstrated feasibility and good short\u2010term outcomes in neonates with malrotation, regardless of the presence or absence of volvulus.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14194","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T09:40:25Z","timestamp":1581500425000},"page":"828-833","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Laparoscopic Ladd\u2019s procedure in neonates: A simple landmark detorsion technique"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4227-5737","authenticated-orcid":false,"given":"Hien Duy","family":"Pham","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Vietnam National Children\u2019s Hospital Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8966-5812","authenticated-orcid":false,"given":"Yuichi","family":"Okata","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Vietnam National Children\u2019s Hospital Hanoi Vietnam"},{"name":"Division of Pediatric Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoan Manh","family":"Vu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Vietnam National Children\u2019s Hospital Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nam Tran","family":"Xuan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Vietnam National Children\u2019s Hospital Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam Tran","family":"Duc","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Vietnam National Children\u2019s Hospital Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2016.08.011"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.05.052"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0118"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00189001"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90447-X"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900848"},{"key":"e_1_2_8_8_1","first-page":"152","article-title":"Laparoscopic Ladd's procedure for intestinal malrotation: Report of three cases","volume":"101","author":"Wu MH","year":"2002","journal-title":"J. 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