Micro-Laparoscopy Saves 24-Day-Old Infant from Catastrophic Midgut Volvulus
Advanced keyhole Ladd’s procedure executes bowel untwisting and widening of the mesenteric base with zero muscle cutting.
A 24-day-old infant was presented with sudden-onset green bilious vomiting and severe abdominal tenderness. Emergent radiological series identified malrotation of the midgut complicated by 360-degree clockwise volvulus—an acute neonatal emergency where mesenteric vascular twisting threatens total bowel ischemia.
Rather than a large disruptive laparotomy incision, Dr. Raghul M deployed 3mm micro-laparoscopic instruments. Under high-definition magnification, the twisted bowel loops were gently counter-rotated and untwisted.
Congenital peritoneal Ladd’s bands compressing the duodenum were carefully divided, the mesenteric root was widely broadened to permanently prevent re-twisting, and an incidental prophylactic appendectomy was executed.
The neonate experienced zero bowel loss, regained full enteral feeding within 36 hours, and was discharged without any significant abdominal scarring.
Demonstrates 3mm micro-laparoscopic precision in hyper-acute neonatal GI emergencies under 3kg.
Specialized pediatric and neonatal surgical consultations available across Dr. Mehta's Children's Hospital (Chetpet), Maa Kauvery (Kovilambakkam), and Dr. Raghul's Pediatric Surgical Clinic at Hive Fertility Centre (Selaiyur).
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