Kanaganayangam, David, and Mariyappa Rathnamma, Bhanu (2023) Minimally Invasive Paediatric Surgery. In: Carroll, Daniel, Stalewski, Harry, and Rathnamma, Bhanu Mariyappa, (eds.) Paediatric Surgery: Clinical Practice in Remote and Rural Settings, and in Tropical Regions. CRC Press, Boca Raton, FL, USA, pp. 179-185.

PDF (Published Version) - Published Version Restricted to Repository staff only

 

1

Abstract

Traditional surgical techniques involve large incision to provide the surgeon with ample views and space to physically handle the required organ. The aim of minimally invasive surgery safely performs a procedure while causing the least amount of anatomical, physiological and psychological trauma to the patient. Multiple gases have been trialled for insufflation in laparoscopic and thoracoscopic surgery. Increased intra-abdominal pressure from the insufflation displaces the diaphragm cranially and decreased pulmonary compliance. There are several challenges in applying minimally invasive techniques to the paediatric patient which contributed to the slower uptake by paediatric surgeons. Treatment of infantile pyloric stenosis requires surgical division of muscle fibres of the pylorus, pyloromyotomy. Musculoskeletal deformity and shoulder dysfunction are common sequelae of traditional thoracotomy, especially in the growing child. Advances in digitisation and augmentation of surgery allow surgeons to access additional information intraoperatively.

Actions (Repository Staff Only)

Item Control Page