Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Dattaguru R Kulkarni, MS, Mch, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shekhar Jadhav, MS, FMAS, Soumya Chatnalkar, MBBS, Priyanka Saha, MBBS, Kushboo Kadakia, MBBS, Shivang Shukla, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India
Median arcuate ligament syndrome (MALS) is extrinsic compression of coeliac axis by lower than normal median arcuate ligament commonly seen in young women with relative hypoperfusion downstream. Requires diagnosis by exclusion. Commonly used investigations include transabdominal doppler and CT angiography. Treatment options include percutaneous coeliac ganglion block and open reconstruction of the vessel. Minimally invasive options include percutaneous angioplasty.
The present case highlights laparoscopic median arcuate ligament release technique with minimal dissection & perpetuation of diaphragmatic crura providing equivalent surgical outcomes.
Median arcuate ligament syndrome can be efficaciously managed laparoscopically, is a safe & feasible option.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93746
Program Number: V340
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop
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