Wednesday, March 31, 2021

Laparoscopy in Children: A Quick Overview







The use of a best laparoscopic surgeon in Chennai is popular in the pediatric community. While laparoscopy in children and adolescents is somewhat close to adult procedures, adult surgery experience does not always translate to safe surgery in pediatric patients. Pediatric procedures must be carried out with a thorough understanding of the anatomic and physiologic variations that exist between children and adults.



Smaller incisions, a lower risk of infection, greater surgical precision, lower costs of treatment, shorter hospital stays, and more clinical details are all benefits of minimally invasive procedures. However, none of these advantages come without a price, and these costs, both monetary and risk-based, increase disproportionately as the patient's size decreases.



Smaller incisions, a lower risk of infection, greater surgical precision, lower costs of treatment, shorter hospital stays, and more clinical details are all benefits of minimally invasive procedures. However, none of these advantages come without a price, and these costs, both monetary and risk-based, increase disproportionately as the patient's size decreases.



Children's laparoscopic surgery is not a new technique. The enormous potential of this "minimally invasive" approach to treating children with medical problems has only recently begun to be realized. Laparoscopic surgery was pioneered by pediatric surgeons.



For more than two decades, pediatric laparoscopy was mostly used for diagnostic purposes. As a result of the success of laparoscopic cholecystectomy, laparoscopic surgery exploded in popularity among adults.



Nonetheless, interest in laparoscopic surgery in children was initially limited to a few diehards, with the majority of the pediatric surgical community taking a “wait and see” approach. With more practice in pediatric laparoscopic procedures and advancements in miniaturized instrumentation, laparoscopy's place in the new pediatric surgical armamentarium has finally been accepted.



Under general anesthesia, laparoscopic surgery requires the insertion of a telescope for visualization and additional ports for therapeutic instrumentation. Initially, only relatively large telescopes could provide sufficient illumination and clear images, but in recent years, good quality pediatric telescopes as small as 2 mm in diameter have become available. Usually, the telescope is threaded into the umbilicus, leaving an unseen scar.



Unlike other major developments in surgical management, such as parenteral nutrition and organ transplantation, which require the implementation of new treatment concepts, laparoscopy merely offers an alternative method of performing procedures that are similar to those performed by open surgery. The latest strategy would not result in any extra lives being saved. Instead, the results are calculated in terms of increased quality of life following the treatment.



Less postoperative pain, decreased wound complications, minimal scarring, a shorter hospital stay, and an earlier return to daily activities such as eating, bowel movements, and work/school are the main benefits of laparoscopic surgery for patients.

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