Malrotation and Volvulus with Trinity

The key to this operation is to operate in front of the camera and run the bowel in front of the camera instead of chasing the bowel around the abdomen, which prevents disorientation and allows the surgeon to keep a clear view.

It is critical that the bowel be completely run from the duodenojejunal junction all the way to the ileocecal valve to ensure that all bands have been released.

The key to this operation is making sure that the mesentery has been broadly widened to prevent a twist in the future.

One should be able to see the superior mesenteric artery and vein coming straight down into the middle of the abdomen with no twists or obstruction.