Using adhesion barriers during the Ladd procedure reduces rehospitalization for small-bowel obstruction without raising midgut volvulus risk.

• Reoperations for midgut volvulus: 3.5% with barrier vs. 2.7% without—no significant difference.
• Rehospitalization for small-bowel obstruction: 2.6% with barrier vs. 6.3% without—a 3.6% reduction.

This suggests adhesion barriers can enhance patient outcomes after intestinal malrotation surgery.

• No significant differences in mortality, surgical interventions, or rehospitalization costs were found.