Laparoscopic diamond-shaped repair of duodenal atresia
Epublication WebSurg.com, Nov 2014;14(11). URL: http://websurg.com/doi/vd01en4381
This is the case of a female newborn weighing 1080 grams, delivered at 29 weeks of gestational age due to the premature rupture of membranes. An abdominal radiography was performed in the clinical setting of non-bilious vomiting and absence of meconium passage. It revealed the double bubble sign, pathognomonic for congenital duodenal obstruction. Laparoscopy showed a type I duodenal atresia and a diamond-shaped duodenal anastomosis was performed maintaining the minimally invasive approach. Duodenal atresia represents one of the most challenging conditions for a laparoscopic skilled pediatric surgeon. This video shows that the procedure is feasible even in a low-birth-weight (LBW) premature newborn.