see video HQ link in second post

 

 

laparoscopic operation in 7 -year-old boy with malrotation and gastroesophageal reflux disease. It was assumed that gastro-esophageal reflux is secondary to partial obstruction of the duodenum. Intraoperative examination revealed adhesion of the stomach with the front wall of the abdomen and liver (spontaneous - no earlier operations), solid fibrous bands pinching and bending descending part of the duodenum and hiatal hernia. Ladd's bands were released for decompression and straightening the course of the duodenum, appendix was resected (cecum was located in the left upper abdomen) and typical antireflux procedure (Nissen fundoplication) was done.

https://www.dropbox.com/s/rcqn1n27kaowfdo/one%20stage%20laparoscopic%20ladd%20procedure%2C%20appendectomy%20and%20nissen%20fundoplication%20in%207-year%20old%20boy%20%E2%80%A2%20video%20%E2%80%A2%20medtube.net.mp4?dl=0