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3 papers 0 to 25 followers Minimal invasive surgery in pediatric surgery
By Edgar Alzate Cirugía Pediátrica - Universidad Nacional de Colombia
Sergio Lopez-Fernandez, Francisco Hernandez, Sara Hernandez-Martin, Eva Dominguez, Ruben Ortiz, Carlos De La Torre, Leopoldo Martinez, Juan Antonio Tovar
INTRODUCTION: Nissen fundoplication (NF) is the gold standard procedure for the treatment of gastroesophageal reflux (GER) in children. However, it fails in a significant proportion of patients. The purpose of this study was to identify preoperative predictors of failure and to examine the results of reoperations. PATIENTS AND METHODS: The charts of patients who underwent NF at our institution between 1992 and 2011 were retrospectively reviewed. Surgery was indicated in patients with symptomatic GER in whom medical treatment failed, particularly, in cases of esophageal atresia (EA), congenital diaphragmatic hernia (CDH), and neurologic impairment (NI)...
February 2014: European Journal of Pediatric Surgery
Nina Ooms, Lucas E M Matthyssens, Jos MTh Draaisma, Ivo de Blaauw, Marc H W A Wijnen
Purpose Intestinal malrotation is a congenital intestinal rotation anomaly, which can be treated by either laparotomy or laparoscopy. Our hypothesis is that laparoscopic treatment leads to less small bowel obstruction because of the fewer adhesions in comparison to laparotomy, without increasing the risk of recurrent volvulus. We analyzed the outcome of patients who had a correction for intestinal malrotation after the introduction of laparoscopy. Methods All patients between 0 and 18 years who underwent a surgical procedure for malrotation in the Radboudumc Amalia Children's Hospital, Nijmegen, the Netherlands, between January 2004 and December 2011 were retrospectively reviewed for duration of operation, perioperative complications, length of hospital stay, and rate of redo surgery for intestinal volvulus or obstruction...
August 2016: European Journal of Pediatric Surgery
Martin Lacher, Joachim F Kuebler, Jens Dingemann, Benno M Ure
The evolution of minimally invasive surgery (MIS) in the newborn has been delayed due to the limited working space and the unique physiology. With the development of smaller instruments and advanced surgical skills, many of the initial obstacles have been overcome. MIS is currently used in specialized centers around the world with excellent feasibility. Obvious advantages include better cosmesis, less trauma, and better postoperative musculoskeletal function, in particular after thoracic procedures. However, the aim of academic studies has shifted from proving feasibility to a critical evaluation of outcome...
October 2014: Seminars in Pediatric Surgery
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