Minimal access surgery in children – 5 years institutional experience
| Autor: | L Manjunath, K Ravikiran, Atique Ahmed, Ranjana Pathak, KV Satish Kumar, Sanjay Oak, Naveen Viswanath, Sandesh V. Parelkar, Munmun Joshi, Tanveer Akhtar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
laparoscopy
minimal access surgery video assisted thoracoscopic surgery medicine.medical_specialty medicine.medical_treatment lcsh:Surgery Context (language use) medicine lcsh:RC799-869 Laparoscopy medicine.diagnostic_test business.industry Minimal access surgery Cosmesis lcsh:RD1-811 medicine.disease Empyema Surgery Inguinal hernia Learning curve Video-assisted thoracoscopic surgery lcsh:Diseases of the digestive system. Gastroenterology Original Article business |
| Zdroj: | Journal of Minimal Access Surgery Scopus-Elsevier Journal of Minimal Access Surgery, Vol 1, Iss 3, Pp 121-128 (2005) |
| ISSN: | 1998-3921 0972-9941 |
| Popis: | Context: Minimal access surgery (MAS) in children are common place and performed worldwide with gratifying results as the learning curve of the surgeon attains plateau. We share our experience of this technically evolving modality of surgery, performed at our setup over a period of 5 years. We also review and individually compare the data for commonly performed procedures with other available series. Author also briefly discuss potential advantages of MAS in certain debatable conditions performed quickly and with cosmesis as open procedure. Materials and methods: We performed 677 MAS in children aged between 7 days and 12 years. Five hundred and sixty-eight of these were Laparoscopic procedures and 109 were Video assisted thoracoscopic surgeries (VATS). In all laparoscopic procedures, the primary port placement was by the Hasson’s open technique. We have used 5, 3 and 2 mm instruments. Our study include 259 inguinal hernia, 161 Appendectomies, 95 VATS for empyema, 51 orchiopexies, 49 diagnostic laparoscopy, 29 cholecystectomies, 22 adhesionlysis and other uncommonly performed procedures. Results: The ultimate outcome of all the performed procedures showed gratifying trend, the data of which are discussed in detail in the article. Conclusion: As we gained experience the operating time showed a decreasing trend, the complication rates and conversion rate also reduced. The advantages we came across were better postoperative appearances, less pain and early return to unrestricted activities. The role of minimal access surgery (MAS) in surgery of children is slowly emerging over the last decade. The scope of MAS is to minimize the traumatic insult to the patient without compromise of the safety and efficacy of the treatment. For over two decades, paediatric MAS was restricted mainly to diagnostic use. More recently, however, with increasing experience and advances in miniaturized instrumentation, the role of MAS in the modern paediatric surgical armamentarium has become accepted. The paediatric surgical community has embraced minimal access techniques for some operations; others remain controversial. With each advancing year, the instruments and optics are being refined and newer indications are getting added to the list of laparoscopically manageable maladies. |
| Databáze: | OpenAIRE |
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