{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T01:40:19Z","timestamp":1780450819496,"version":"3.54.1"},"reference-count":47,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"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":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoscopic approach for malrotation has become more popular for neonates and in cases with volvulus, but its safety and efficacy remains controversial. This study reviewed laparoscopy outcomes in neonate\/infant malrotation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medline\/PubMed and Lilacs databases were reviewed. Data from studies published in English\/Spanish between 1995 and 2019 were collected. Results are presented as percentages and means\/medians; logistic regression was used to study possible associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nineteen papers offered 99 neonates\/infants with median age and weight of 10.5 days and 3.5 kg, respectively. Ladd\u2019s procedure was performed in 95 (96%) patients and bands\u2019 division in 4 (4%); appendectomy was not included in 16 (16.2%) patients, and cecopexy was not performed in all cases. Volvulus was reported in 39 (39.4%) patients. There were 11 conversions (11.1%) and 10 recurrences of symptoms (10.1%) that required reintervention. An association was found between volvulus and recurrence ( P = .05) and the need for conversion ( P &lt; .01). There were 10 (10.1%) minor complications and no mortality. The median follow-up was 10 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Laparoscopic approach to malrotation is feasible and safe in hemodynamically stable neonates\/infants without intestinal necrosis and is associated with 11% conversion rate and 10% reinterventions. The presence of volvulus is associated with recurrence and conversion. Laparoscopic Ladd\u2019s procedure with appendectomy and without cecopexy is the commonly practiced approach that is associated with minor complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003134820951424","type":"journal-article","created":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T14:42:00Z","timestamp":1600180920000},"page":"253-258","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Laparoscopic Ladd Procedure for Malrotation in Newborns and Infants"],"prefix":"10.1177","volume":"87","author":[{"given":"Karina M.","family":"da Costa","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Chelsea Children\u2019s Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, Imperial College London, London, UK"},{"name":"Division of Pediatric Surgery, Department of Pediatrics, Regional University Hospital of Maring\u00e1, State University of Maring\u00e1, Maring\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amulya K.","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Chelsea Children\u2019s Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"bibr1-0003134820951424","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.08.035"},{"key":"bibr2-0003134820951424","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0236"},{"key":"bibr3-0003134820951424","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0118"},{"key":"bibr4-0003134820951424","unstructured":"Stringer DA, Babyn PS, eds. 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