2.1 The Ladd's Procedure for Correction of Intestinal Malrotation With Volvulus in Children

• MALROTATION that occurs when the embryonic, two-part, intestinal rotation does not proceed normally results in an abnormal anatomical position of the intestines.
• VOLVULUS OCCURS when the intestines are not fixated to the intestinal wall but are suspended on a narrow stalk of mesenteric tissue containing the supplying blood vessels. This formation allows the intestines to twist on themselves and cut off the blood supply to the bowel.
• WHEN MALROTATION WITH VOLVULUS is diagnosed, emergency surgery must be performed to untwist the intestines, restore blood flow, and widen the mesentery. AORN J 85 (February 2007) 300–312. © AORN, Inc, 2007.