Intestinal malrotation treatment
Liver Surgeon in JP Nagar
What is gut/intestinal malrotation?
Malrotation is the twisting of the intestine that leads to a blockage or obstruction.
It primarily affects children and occurs during pregnancy when the fetus’ intestines are not fully matured.
The following complications can occur as a result of malrotation:
Volvulus is a disorder in which the gut twists and cuts off the blood supply to the tissues, causing tissue damage and death.
The blocking of the duodenum is caused by the formation of a disorder called Ladd’s band, which can be fatal.
Both of the disorders listed above are life-threatening and can result in intestinal tissue destruction or death, as well as a halt in bowel motions.
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How is malrotation Diagnosed?
What are treatments available and How to prepare for them?
The surgery is called ladd procedure, during the surgery the intestine is straightened out, ladd bands are divided and small intestine is placed on to the right side of the abdomen and the colon to the left. The appendix is removed to facilitate this, if the appendix is not removed complications may occur leading to appendicitis.
The doctor will inform the patient about the requirement of having a ‘stoma’ after the surgery.
A stoma is an opening in the belly wall that is made during the surgery by the doctor in order for the waste to leave the body, which doesn’t happen if there is no bowel movement through the rectum.
The waste from the stoma collects in the colostomy bag.
There are two methods of surgery available
The open approach involves creating incisions in the abdomen and gradually working your way through the other organs in the abdomen until you reach the intestine and rectify the malrotation.
Through the IV, necessary nutrients are delivered on a continuous basis.
A Laparoscopic technique, sometimes known as a minimally invasive operation, is the second method.
The patient will be given general anaesthesia, which will put him or her to sleep during the procedure.
Once the patient is unconscious, the procedure begins with incisions near the belly button and the insertion of a small device known as a port, which creates a hole in the abdomen that will be filled with gas (carbon dioxide).
A Laparoscope (a Laparoscope is a small instrument with a narrow tube that has a light source and camera at the end of the tube) is inserted through these incisions, and the surgeon is able to locate the affected body part using the Laparoscope’s video camera, and the malrotation is reached and corrected with the help of surgical equipment through the other incisions that are made; the appendix is also removed during the surgery, and the incisions are sealed using.
Small incisions are used in the procedure, which take less time to heal and allow the patient to return to regular life quickly.
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