Malrotation_Flashcards
What is required if there are signs of vascular compromise in a case of malrotation?
An emergency laparotomy is needed as this is a surgical emergency.
When can an elective procedure be performed for malrotation?
An elective procedure can be performed if the patient is asymptomatic.
What is the management procedure called for malrotation?
The management procedure is called the Ladd procedure.
How is the Ladd procedure performed in elective or non-urgent cases?
The Ladd procedure is performed laparoscopically if it is elective or non-urgent.
How is the Ladd procedure performed in emergency or urgent cases?
The Ladd procedure is performed during open laparotomy if it is an emergency or urgent.
How is the bowel positioned during the Ladd procedure?
The bowel is placed in the non-rotated position with the duodenojejunal flexure on the right and the caecum and appendix on the left.
Why is the appendix usually removed during the Ladd procedure?
The appendix is usually removed to avoid diagnostic confusion in case the child presents again with an acute abdomen.
What antibiotic is commonly used in the management of malrotation?
Cefazolin is the commonly used antibiotic in the management of malrotation.
