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Miniature Access Surgery in Children

Miniature Access Surgery in Children. Types of MAS. Endoscopy Vaginal hysterectomy Vascular access Transurethral resection of the prostate Percutaneous endoscopic gastrostomy Angiography and angioplasty Arthroscopy Laparoscopy and thoracoscopy .

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Miniature Access Surgery in Children

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  1. Miniature Access Surgery in Children

  2. Types of MAS • Endoscopy • Vaginal hysterectomy • Vascular access • Transurethral resection of the prostate • Percutaneous endoscopic gastrostomy • Angiography and angioplasty • Arthroscopy • Laparoscopy and thoracoscopy (1987: 1st Laparoscopic Cholecystectomy)

  3. Historical Resistance to Pediatric MAS • “Children don’t experience pain.” • “We already use small incisions anyway.” • “Laparoscopy is only of cosmetic value.” • “Laparoscopic cases don’t really apply to children.” • “Just because we can do it, should we?” • “It’s too expensive.” • “We don’t have small enough equipment.” • “It’s too hard to do, and too hard to learn.” • “The cases take too long to set up, and to do.” A little history: Concept of asepsis took 20 years to be accepted

  4. Pediatric Miniature Access Surgery Advantages Smaller wounds Fewer pulmonary complications Shorter stays in the hospital Quicker return to home Quicker return to school Quicker return to unrestricted activities Parents return quicker to work

  5. Here is the Laparoscopic’s Analgous Bottle in Which to Build that Ship

  6. Pediatric MIS Applications

  7. Appendectomy

  8. Mesoappendix

  9. Appendectomy, continued

  10. Stapling the Mesoappendix

  11. Stapling the appendiceal base

  12. Splenectomy

  13. Accessory Spleens

  14. Stapling the Splenic Hilum

  15. Splenic Cyst

  16. Cholecystectomy

  17. Transecting the Cystic Duct

  18. Mobilizing the Gallbladder

  19. Hirschsprung Disease

  20. Laparoscopic Mobilization of the Rectosigmoid

  21. Hirschsprung Disease Incisionless Pull through:Mucosectomy

  22. Hirschsprung Disease Incisionless Pull through:Pull through & Anastomosis

  23. Pectus Excavatum

  24. PECTUS EXCAVATUMMiniature Access Pectus Repair

  25. PECTUS EXCAVATUMMiniature Access Pectus Repair

  26. PECTUS EXCAVATUMMiniature Access Pectus Repair

  27. PECTUS EXCAVATUMMiniature Access Pectus Repair  Pre-Op Post-Op 

  28. Nephrectomy and Donor Transplant Nephrectomy

  29. Nephrectomy for Polycystic Disease

  30. Transplant Donor Nephrectomy

  31. Thoracoscopy

  32. Heller myotomy

  33. Operations on the Ovary

  34. Ovarian Cyst in a 10 month old

  35. Laparoscopy in a patient with Gastrointestinal Bleeding

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