https://scholars.lib.ntu.edu.tw/handle/123456789/534192
標題: | Management of Sigmoid Volvulus Based on Ladd's Procedure: A Case Report | 作者: | Chiang L.-L. HONG-SHIEE LAI YEN-HSUAN NI WEN-MING HSU |
公開日期: | 2009 | 卷: | 50 | 期: | 3 | 起(迄)頁: | 129-131 | 來源出版物: | Pediatrics and Neonatology | 摘要: | Sigmoid volvulus is a rare but potentially life-threatening condition in childhood. Colectomy is usually required to prevent recurrent volvulus, which carries a high risk of morbidity and mortality. Here, we report a non-resection method based on the concept of Ladd's procedure to treat a sigmoid volvulus in a 15-year-old boy. After re duction of the volvulus, the distance between the sigmoid-rectal junction and the sigmoid-descending colon junction was widened by dissecting the meso-sigmoid colon along the course of the long axis. No colon resection was performed. The total operation time was less than an hour. The post-operative recovery was uneventful. There was no recurrent volvulus during a follow-up of 1 year. Widening the base of the mesosigmoid according to the concept of Ladd's procedure may be considered as a more simple and safe alternative treatment to prevent recurrent sigmoid volvulus in children. ? 2009 Taiwan Pediatric Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-67650711406&doi=10.1016%2fS1875-9572%2809%2960049-8&partnerID=40&md5=28b975af689cf2d857985dbd90b9006b https://scholars.lib.ntu.edu.tw/handle/123456789/534192 |
ISSN: | 1875-9572 | DOI: | 10.1016/S1875-9572(09)60049-8 | SDG/關鍵字: | abdominal distension; abdominal pain; abdominal radiography; adolescent; article; case report; colonoscopy; computer assisted tomography; descending colon; human; laboratory test; Ladd procedure; laparotomy; male; mesocolon; operation duration; physical examination; postoperative period; rectum; sigmoid; sigmoid volvulus; surgical technique; vomiting; Adolescent; Colon, Sigmoid; Digestive System Surgical Procedures; Humans; Intestinal Volvulus; Male; Sigmoid Diseases; Tomography, X-Ray Computed |
顯示於: | 醫學系 |
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