The scope of minimally invasive pediatric surgery (MIPS) and its influence on reduced length of hospitalization

Article type: Research Article

Authors: Schaarschmidt, K.^a | Pattyn, P.^b | Schleef, J.^a | Kerremanns, I.^b | Stratmann, U.^c | Willital, G.H.^a

Affiliations: [a] Hospital for Pediatric Surgery, Münster University, FRG | [b] Dep. of Pediatric Surgery, University of Gent, Belgium | [c] Anatomical Institute, Münster University, FRG

Abstract: Minimally invasive pediatric surgery (MIPS) is a new dimension in pediatric surgery. The scope of methods replacing large operations in children by smaller endo- or laparoscopic interventions is presented. Electromagnetic double-segmental elongation has achieved auto anastomosis in 16 out of 22 children with long gap esophageal atresias since 1975. A new radial laser-applicator with entirely lateral radiation has led to a method for endoscopic occlusion of esophagotracheal and other fistulas with a 100% success rate in a minipig-model. Our experience with 54 laparoscopic interventions including large bowel resections, hiatus hernia, and a new technique for pyloromyotomy documents that laparoscopy halves hospitalisation-periods and may well become the most rapidly growing branch of pediatric surgery.

Keywords: Surgery, minimally invasive, pediatric, Laser, Esophageal atresia

DOI: 10.3233/THC-1993-1107

Journal: Technology and Health Care, vol. 1, no. 1, pp. 67-74, 1993