The systematization of malrotations according to their morphological patterns depending on topographic peculiarities of the duodenum and colon permits to ascertain an anatomical variant of the malformation in each case, which helps to make an adequate choice of the procedure of surgical correction. The author is convinced that in time of operation for any type of fixation and rotation abnormality it is necessary to explore the whole intestine, to evaluate the status and development of the superior mesenteric artery, to free the duodenum from abdominal formations along the outside curvature and to relieve the tissue pressure from the vessels of the pathologically developed mesentery.
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