Single Incision Pediatric Endoscopic Surgery: Advantages of a Relatively Large Incision.

Abstract

OBJECTIVE:

To describe Single Incision Pediatric Endoscopic Surgery (SIPES) performed on children with various diagnoses, emphasizing its advantages.

STUDY DESIGN:

An observational case series.

PLACE AND DURATION OF STUDY:

Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Child Health Hospital, Ankara, Turkey, from January 2011 to November 2014.

METHODOLOGY:

A review of patient charts was conducted in which SIPES was preferred as the surgical procedure. Patient demographics, operative details, operative time, clinical outcomes, postoperative pain and cosmesis were analyzed.

RESULTS:

SIPES was performed on 45 patients (21 girls, 24 boys). Thirty-three appendectomies, 5 varicocelectomies, 3 oophorectomies, 2 ovarian and one paratubal cyst excision, and one fallopian tube excision were performed. All except one procedures were performed through our standard 2 cm umbilical vertical or smile incision. In 18 cases, abdominal irrigation/aspiration was easily performed through the existing larger incision, as is done with open surgical technique. None of the patients had early postoperative shoulder/back pain since complete disinflation of CO2could be ensured. All of the patients/parents were satisfied with the cosmesis.

CONCLUSION:

SIPES has the advantages of limiting the surgical scar to within the umbilicus and providing easy disinflation of CO2, allowing intraabdominal cleaning and extraction of large volume tissue samples through a single large umbilical incision.

• Authors: Engin Yilmaz, Cagatay Evrim Afsarlar, Ahmet Erturk, Ibrahim Karaman, Ayse Karaman, Yusuf Hakan Cavusoglu
• Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP (J Coll Physicians Surg Pak) Vol. 25 Issue 8 Pg. 592-6 (Aug 2015) ISSN: 1681-7168 [Electronic] Pakistan
• PMID: 26305306 (Publication Type: Case Reports, Journal Article, Observational Study)

Topics

• Adolescent
• Appendectomy
• Appendicitis (surgery)
• Child
• Child, Preschool
• Endoscopy (methods)
• Female
• Gynecologic Surgical Procedures (methods)
• Humans
• Infant
• Infant, Newborn
• Male
• Operative Time
• Ovarian Diseases (surgery)
• Pain, Postoperative
• Treatment Outcome
• Turkey
• Umbilicus