Ladd Procedure
Surgical treatment for malrotation involving detorsion, band division, and intestinal repositioning.
Full Definition
The Ladd procedure is the standard surgical treatment for intestinal malrotation, first described by William Ladd in 1936. The procedure consists of four key components: detorsion of any midgut volvulus in a counterclockwise direction, division of Ladd's bands that cross the duodenum, widening of the mesenteric base to prevent future volvulus, and appendectomy due to the abnormal cecal position. The goal is to create the broadest possible mesenteric base and place the cecum in the left lower quadrant with the duodenum on the right. This procedure can be performed via open or laparoscopic approach, with excellent long-term outcomes when performed promptly.
Usage
Usage note: Named after William Ladd; appendectomy is performed as part of the procedure due to abnormal cecal position.
In Context
- "The Ladd procedure was completed laparoscopically with division of all peritoneal bands." — operative report
- "Post-Ladd procedure imaging showed appropriate positioning of the cecum and duodenum." — follow-up note