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Purpose: The Ladd procedure is the standard surgical technique for midgut volvulus with which a concurrent appendectomy is often performed to prevent diagnostic errors of appendicitis later in life. However, its effect on the Ladd procedure remains unclear. Here we assessed the impact of concurrent appendectomy on the Ladd procedure.Methods: The medical records of patients who underwent surgery for midgut volvulus with malrotation in 2000–2020 were reviewed. The patients were divided into groups with or without appendectomy for comparison of their characteristics and surgical outcomes.Results: Seventy patients were evaluated, among whom appendectomy was performed in eight by surgeon preference. Patient characteristics, operative time, blood loss, length of hospital stay, and volvulus recurrence rate did not differ significantly between groups. There were no cases of appendicitis. Bowel obstruction occurred in four cases (50%) in the appendectomy group (one required surgical intervention) versus six cases (9.7%) in the without appendectomy group (p |
