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6 Cards in this Set
- Front
- Back
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Findings on laparoscopy
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high and medial cecal position, elongated tortuous duodenum
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Goals of the operation
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Division of Ladd's cecal bands, straighten the course of the duodenum, broadening of the small intestine mesentery, incidental appendectomy, placement of small bowel in right lateral gutter, and colon along left lateral gutter
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Incidence
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1 in 6000 live births
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Common associated abnormalities
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Intestinal atresia (5-26%), imperforate anus (0-9%), cardiac anomalies (7-13%), duodenal web (1-2%), Meckel's (1-4%), hernia (0-7%), trisomy 21 (3-10%)
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Time of presentation
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75% present in first month, 15% in first year
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Lap vs. open
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Lap - earlier time to tolerating diet, earlier hospital dismissal, decreased requirements for intravenous narcotics (almost factor of 10). Longer though.
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