ROBOTIC-ASSISTED LAPAROSCOPIC MEDIAN ARCUATE LIGAMENT RELEASE (MALR) FOR MEDIAN ARCUATE LIGAMENT SYNDROME (MALS)
Carolyn Judge*, Michael Hornacek, Gordon G. Wisbach
Naval Medical Center San Diego, San Diego, CA
Median arcuate ligaments syndrome (MALS) is a condition caused by symptomatic chronic mesenteric ischemia in the setting of celiac artery compression due to an abnormal configuration of the median arcuate ligament. Computed tomography of a 42-year-old woman with a decade of post-prandial abdominal pain demonstrated 85% stenosis of the celiac trunk consistent with MALS. After alternative causes of her abdominal pain were ruled out, she was a candidate for robotic-assisted laparoscopic median arcuate ligament release (MALR). This approach allowed facile use of indocyanine green (ICG) and vascular ultrasound to guide dissection and confirm of normal flow rates at conclusion of the release.
Back to 2022 Abstracts