The Concise Surgery Reviewfor the ABSITE and Boards
All operations

Malrotation

  • If midgut volvulus is present, the bowel mesentery is detorsed in a counterclockwise direction.
  • The bowel should be inspected for viability, and frankly necrotic bowel should be resected.
  • A Ladd procedure should be performed for correction of malrotation. This includes dividing Ladd bands, broadening the base of the mesenteric pedicle, and performing an appendectomy.
  • At the completion of the procedure, the small bowel should be lie on the right side of the abdomen and the colon on the left side.

Educational aid only. Verify every dose, indication, and guideline against current institutional protocol. This is not a substitute for clinical judgment.