Ladd procedure
Pronunciation: lad proh-SEE-jur
Surgical correction of intestinal malrotation involving division of adhesive bands and repositioning of the bowel.
Full Definition
The Ladd procedure is a surgical operation designed to correct intestinal malrotation and prevent midgut volvulus. Named after pediatric surgeon William Ladd, the procedure involves several key steps: division of Ladd's bands (abnormal peritoneal attachments), counterclockwise detorsion of any existing volvulus, widening of the narrow mesenteric base, positioning the small bowel on the right side of the abdomen, placing the cecum in the left lower quadrant, and often performing an appendectomy due to the abnormal cecal position. The surgery can be performed through open or laparoscopic approach and is typically done emergently when volvulus is present or electively when malrotation is diagnosed.
Usage
Usage note: Named after Dr. William Ladd; capitalize the 'L' when referring to the specific procedure.
In Context
- "The infant underwent emergent Ladd procedure to correct malrotation and prevent recurrent volvulus episodes." — Operative report