Karthigesu Aimanan1*, Mohd Yusran Othman2, MohdYusof Abdullah2 and Zakaria Zahari2
1Department of Surgery, National University of Malaysia, Malaysia
2Department of Peadiatric Surgery, Hospital Kuala Lumpur, Malaysia
Short bowel syndrome is a known complication following long segment resection for intestinal ischaemia secondary to midgut volvulus and associated with much morbidity. Preserving the maximal bowel length by removing only the gangrenous bowel segments is an ideal solution but hindered by time consuming anastamosis. Even though there are various anastomotic methods been studied, auto-anastamosis of bowel as in our has never been described for malrotation. This is the first report of a novel technique utilising intraluminal silastic tube to promote spontaneous bowel anastamosis following multiple segmental resection in a patient diagnosed as midgut volvulus. This is a safe technique to avoid morbidities associated with short gut syndrome in paediatric population.
Aimanan K, Othman M, Abdullah MY, Zahari Z. Intraluminal Silastic Tube for Multiple Segment of Bowel Anastomosis in Midgut Volvulus: An Alternative Approach to Preserve Bowel Length. Clin Surg. 2019; 4: 2316.