scholarly journals Minimally invasive pediatric surgery: Increasing implementation in daily practice and resident’s training

2007 ◽  
Vol 22 (1) ◽  
pp. 163-166 ◽  
Author(s):  
E. A. te Velde ◽  
N. M. A. Bax ◽  
S. H. A. J. Tytgat ◽  
J. R. de Jong ◽  
D. Vieira Travassos ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Daily Practice

Thirty Years of Minimally Invasive Surgery in Children: Analysis of Meta-Analyses

2019 ◽  
Vol 30 (05) ◽  
pp. 420-428 ◽  
Author(s):  
Joachim F. Kuebler ◽  
Jens Dingemann ◽  
Benno M. Ure ◽  
Nagoud Schukfeh
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Randomized Controlled Trials ◽  
Invasive Surgery ◽  
Pediatric Surgery ◽  
Controlled Trials ◽  
Advantages And Disadvantages ◽  
Randomized Controlled ◽  
Lower Complication ◽  
Meta Analyses

Abstract Introduction In the last three decades, minimally invasive surgery (MIS) has been widely used in pediatric surgery. Meta-analyses (MAs) showed that studies comparing minimally invasive with the corresponding open operations are available only for selected procedures. We evaluated all available MAs comparing MIS with the corresponding open procedure in pediatric surgery. Materials and Methods A literature search was performed on all MAs listed on PubMed. All analyses published in English, comparing pediatric minimally invasive with the corresponding open procedures, were included. End points were advantages and disadvantages of MIS. Results of 43 manuscripts were included. MAs evaluating the minimally invasive with the corresponding open procedures were available for 11 visceral, 4 urologic, and 3 thoracoscopic types of procedures. Studies included 34 randomized controlled trials. In 77% of MAs, at least one advantage of MIS was identified. The most common advantages of MIS were a shorter hospital stay in 20, a shorter time to feeding in 11, and a lower complication rate in 7 MAs. In 53% of MAs, at least one disadvantage of MIS was found. The most common disadvantages were longer operation duration in 16, a higher recurrence rate of diaphragmatic hernia in 4, and gastroesophageal reflux in 2 MAs. A lower native liver survival rate after laparoscopic Kasai-portoenterostomy was reported in one MA. Conclusion In the available MAs, the advantages of MIS seem to outnumber the disadvantages. However, for some types of procedures, MIS may have considerable disadvantages. More randomized controlled trials are required to confirm the advantage of MIS for most procedures.

Improving Tactile Sensation in Minimally Invasive Pediatric Surgery

2007 ◽  
Vol 17 (4) ◽  
pp. 501-503 ◽  
Author(s):  
Michael V. Tirabassi ◽  
George Wadie ◽  
David B. Tashjian ◽  
Kevin P. Moriarty
Keyword(s):  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Tactile Sensation

Minimally invasive pediatric surgery in uncomplicated congenital heart disease

2013 ◽  
Vol 21 (4) ◽  
pp. 414-417 ◽  
Author(s):  
Faruk Cingoz ◽  
Murat Tavlasoglu ◽  
Mehmet Ali Sahin ◽  
Mustafa Kurkluoglu ◽  
Adem Guler ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Congenital Heart

scholarly journals Esophageal atresia — state of the art (review of literature on the PUBMED base)

2020 ◽  
Vol 10 (3) ◽  
pp. 327-338
Author(s):  
Steven Rothenberg ◽  
Yury А. Kozlov
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Esophageal Atresia ◽  
Invasive Surgery ◽  
Pediatric Surgery ◽  
Neonatal Intensive Care ◽  
Surgical Care ◽  
Postoperative Recovery ◽  
Invasive Approach ◽  
Minimal Trauma

Esophageal atresia is fundamentally important in pediatric surgery, as its treatment results create an accurate portrait of the standards of surgical care, which is provided by any medical institution. Cameron Haight performed the first successful reconstruction of the esophagus malformation relatively recently just over 70 years ago. Advances in neonatal surgery, technology and advances in neonatal intensive care have dramatically improved treatment outcomes for this disease. Current mortality from this developmental abnormality has become minimal, despite its frequent association with other malformations. A revolutionary approach to the treatment of esophageal atresia was developed by Steven Rothenberg in 1999, the pioneer and legend of pediatric minimally invasive surgery. In 1999, he revolutionized esophageal anastomosis by thoracoscopy. The innovative concept of the minimally invasive approach ensured minimal trauma to patients, thereby providing the possibility of rapid postoperative recovery of patients and reducing the length of their surgical hospital stay. This literature review raises the main controversy in the surgical treatment of esophageal atresia in the 21st century. Emphasis is placed on the study of the role of minimally invasive surgery and the treatment of concomitant abnormalities associated with gastroesophageal reflux and tracheomalacia. As part of the study, a description of all the latest technologies, advances in technical and scientific terms, solutions, exceptional experience, and competence in developing and implementing minimally invasive operations in young children. These developments changed the direction of pediatric surgery and improved the quality of surgical care for children with congenital malformation of the esophagus and how they were performed.

scholarly journals Awareness Regarding Minimally Invasive Dentistry among Dentists of Karachi

2019 ◽  
Vol 09 (04) ◽  
pp. 294-298
Author(s):  
Sara Ikram Khan ◽  
Shama Asghar ◽  
Adeena Abid ◽  
Farwah Aftab
Keyword(s):  
Minimally Invasive ◽  
Clinical Training ◽  
Daily Practice ◽  
Cross Sectional Study ◽  
Detection Methods ◽  
Caries Detection ◽  
Cross Sectional ◽  
Minimally Invasive Dentistry ◽  
Activity Assessment ◽  
Dental Practitioners

The objective of this study was to assess awareness of dental practitioners of Karachi regarding minimally invasive dentistry. Study design and Setting: It was a cross sectional study based on questionnaire, conducted in 6 different dental hospitals of Karachi. The sample included dentists who were actively practicing clinical dentistry in Karachi. Specialists were excluded from the study Methodology: A study questionnaire was distributed to the participants which comprised of demographic details, professional data and Likert-Scale based questions to asses respondent’s agreement level related to caries activity, assessment, detection and treatment. Results: Out of the 151 questionnaires distributed, 119 were analysed with an overall response rate of 78.8%. From the total 67.2% dentists were received training in MID through some means in which 36% received training in MID by lectures and clinical training both while 32.8% had no training in MID. MID techniques like ART and sandwich technique was found to be effective by 65% and 50.4% respectively. The 58.8% participants were agreed that caries risk assessment (CRA) should be done in every patient and 55.5% dentists were agreed that restoration should be planned according to patient’s assessment Conclusion: General Dental Practioners were not completely aware of the concepts and application of minimally invasive procedures and had little knowledge regarding caries detection methods and lacked in implementation of MID techniques in their daily practice

scholarly journals KEEL-SHAPED DEFORMITY OF THE CHEST

2018 ◽  
Vol 8 (3) ◽  
pp. 45-52
Author(s):  
M. A. Akselrov ◽  
М. P. Razin ◽  
M. N. Satyvaldayev ◽  
G. B. Vol’skiy ◽  
V. A. Skobelev ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Constant Pressure ◽  
Hospital Treatment ◽  
Minimally Invasive Techniques ◽  
Clinical Hospital ◽  
Results Of Treatment ◽  
Treatment Stage ◽  
Invasive Techniques

Purpose.To analyze the results of treatment of children with keel-shaped deformity of the chest using various methods.Materials and methods.The work is based on the retrospective analysis of treatment outcomes for 28 children who obtained treatment for KSDC at pediatric surgical departments of Regional Clinical Hospital No. 2 in Tyumen and Children’s Regional Clinical Hospital in Kirov. These are clinical bases of pediatric surgery departments of Tyumen and Kirov State Medical Universities. Various treatment methods were applied including chest constant pressure devices and thoracoplasties.Results and discussion. The Ravich procedure was done in 14 children. The patients stayed at the hospital for 18±3 days and required prolonged anesthesia and long-term antibacterial therapy; discharge was followed by long-term immobilization with a plaster or polymer corset. 6 children had surgeries using smallinvasive thoracoplasty based on the method offered by H. Abramson. The hospital treatment stage was 7 to 11 days. 8 children had therapy using orthosis.Conclusion. The authors believe that mental traumas caused by a keel-shaped deformity require minimally invasive techniques for correction that eliminate the deformity considering esthetic requirements of a patient.

Safeguarding Infant Brains: A Multidisciplinary Challenge—Results of a Survey, Update on Current Scientific Evidence, and Recommendations on How to Deal with Possible Anesthetic Drug Neurotoxicity

2017 ◽  
Vol 28 (05) ◽  
pp. 400-405
Author(s):  
John Vlot ◽  
Rene Wijnen ◽  
Frank Weber
Keyword(s):  
Pediatric Surgery ◽  
Scientific Evidence ◽  
Pediatric Anesthesia ◽  
Daily Practice ◽  
Scientific Data ◽  
Shared Responsibility ◽  
Neutral Position ◽  
Anesthetic Drug ◽  
Anesthetic Drugs ◽  
Prospective Longitudinal

Introduction Potential neurotoxicity of anesthetic drugs has been among the most intensively discussed issue in pediatric anesthesia for more than 10 years. It remains unclear how far this discussion has reached the European pediatric surgical community. Our aim was to investigate the thoughts of pediatric surgeons regarding this topic. In addition, we provide an update on the current scientific evidence regarding neurotoxicity together with recommendations for clinical practice. Materials and Methods A web-based survey to assess the thoughts of practicing European pediatric surgeons regarding neurotoxicity and how it may have influenced their daily practice of pediatric surgery was launched via the European Pediatric Surgeons' Association Web site. Results A total of 72 responses could be analyzed. A majority of the respondents were interested in the topic but felt a need to further explore it. Thirty-one respondents have changed their daily practice of pediatric surgery due to potential anesthetic drug toxicity. Eighteen respondents reported to be concerned about neurotoxicity, 29 held a neutral position, and 8 were not concerned. Twenty-seven respondents found it a shared responsibility of the surgeon and the anesthesiologist to deal with the neurotoxicity issue. The majority of respondents found a necessity for further research on anesthetic drug neurotoxicity, assigning the highest priority to prospective longitudinal human studies and the lowest to animal studies. Conclusion The neurotoxicity question has reached the pediatric surgical community. Currently available scientific data do not support the theory of anesthetic drug-induced neurotoxicity in young children. Recent interdisciplinary clinical research focuses on neurodevelopmental outcome after surgery in neonates and infants. The European Safe Anesthesia For Every Tot initiative suggests focusing on proper conduct of anesthesia in children rather than on possible anesthetic drug neurotoxicity.

Current Image-Guided Interventions in Pediatric Surgery

2020 ◽  
Vol 30 (02) ◽  
pp. 164-171
Author(s):  
Nathan S. Rubalcava ◽  
Marcus D. Jarboe
Keyword(s):  
Image Quality ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Pediatric Surgery ◽  
Image Guidance ◽  
Surgical Intervention ◽  
Surgical Approaches ◽  
Current Image ◽  
Image Guided ◽  
Invasive Management

AbstractTraditionally, surgical technique has not included imaging modalities. Image guidance had largely been left to radiology specialties. However, in recent years, tremendous advances in imaging have taken place with improvements in image quality, portability, and accessibility. With these advances, surgeons have begun to realize the benefits of fusing image guidance with traditional surgical approaches. Subsequently, many novel surgical approaches utilizing image guidance have been developed that allow for precise, safe, and minimally invasive management of conditions that previously required open surgical intervention.

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