SynthesisPediatric surgery international2023
Appendectomy as part of Ladd's procedure: a systematic review and survey analysis.
Synthesis in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Adult intestinal malrotation with Ladd's bands causing acute small-bowel obstruction in a virgin abdomen: a case report.International journal of surgery case reports · 2026Article
- The safety and feasibility of minimally invasive Ladd's procedures in adult patients: a NSQIP analysis.Surgical endoscopy · 2026Article
- Laparoscopic Ladd surgery in adult with chronic intestinal obstruction due to midgut malrotation.Journal of surgical case reports · 2026Article
- Prophylactic appendectomy during Ladd's procedure: a multicenter survey of institutional approaches and their rationales in Japan.Pediatric surgery international · 2026Article
- Acute subumbilical appendicitis in a patient undiagnosed with intestinal malrotation: a case report.Journal of medical case reports · 2025Article
- Congenital mesocolon anomaly, omental band, and Meckel's diverticulum: a unique case of a small bowel obstruction.Journal of surgical case reports · 2025Article
- Early recurrent midgut volvulus post Ladd's procedure in a newborn: a case report.Journal of surgical case reports · 2025Article
- Midgut volvulus with complete malrotation in an infant: First case report from Somalia.International journal of surgery case reports · 2025Article
- Case Report: Early detection of neonatal volvulus by ultrasound in a 2-day-old neonate: timely intervention prevents complications.Frontiers in pediatrics · 2025Article
- An International Consensus Survey among Pediatric Surgeons on the Role of Appendectomy in Malrotation.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLadd's Procedure has been the surgical intervention of choice in the management of congenital intestinal malrotation for the past century. Historically, the procedure included performing an appendectomy to prevent future misdiagnosis of appendicitis, since the location of the appendix will be shifted to the left side of the abdomen. This study consists of two parts. A review of the available literature on appendectomy as part of Ladd's procedure and then a survey sent to pediatric surgeons about their approach (to remove the appendix or not) while performing a Ladd's procedure and the clinical reasoning behind their approach.
methodsThe study consists of 2 parts: (1) a systematic review was performed to extract articles that fulfill the inclusion criteria; (2) a short online survey was designed and sent by email to 168 pediatric surgeons. The questions in the survey were centered on whether a surgeon performs an appendectomy as part of the Ladd's procedure or not, as well as their reasoning behind either choice.
resultsThe literature search yielded five articles, the data from the available literature are inconsistent with performing appendectomy as part of Ladd's procedure. The challenge of leaving the appendix in place has been briefly described with minimal to no focus on the clinical reasoning. The survey demonstrated that 102 responses were received (60% response rate). Ninety pediatric surgeons stated performing an appendectomy as part of the procedure (88%). Only 12% of pediatric surgeons are not performing appendectomy during Ladd's procedure.
conclusionIt is difficult to implement a modification in a successful procedure like Ladd's procedure. The majority of pediatric surgeons perform an appendectomy as part of its original description. This study has identified gaps in the literature pertaining to analyze the outcomes of performing Ladd's procedure without an appendectomy which should be explored in future research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.