A Clinical Evaluation of the Use of Radially Expandable Laparoscopic Access Devices in the Pediatric Population

Rothenberg, Steven S.; Georgeson, Keith E.; DeCou, James M.; Downey, Earl C.; Lelli, Joseph L.; Raschbaum, George R.; Moores, Donald

doi:10.1089/pei.2000.4.7

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…This system has been studied extensively and information about its use has been presented at several major medical conferences and published in several reference journals. [3][4][5][6][7][8][9][10][11][12][13][14] Recently, this scientific information was submitted to the US Food and Drug Administration (FDA), which cleared the device for additional safety advertising claims. The FDA acknowledged that the Step radially expanding laparoscopic access technology provides safety benefits including, but not limited to: (i) a lower incidence of abdominal wall bleeding; (ii) a lower prevalence of bowel and bladder injuries; (iii) a lower incidence of postoperative incisional hernias, and (iv) a lower prevalence of major vascular injury.…”

Section: Thementioning

confidence: 99%

Making the case for the radially expanding access system

Turner¹

1999

Gynaecol Endoscopy

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Objective To report data on the case of the radially expanding access device for laparoscopic surgery. Design A narrative based on personal and industry‐wide evidence‐based outcome data on abdominal injuries caused by sharp trocars, compared with the safety associated with the radially expanding access system. Subjects Patients undergoing laparoscopic gynaecological and general surgical procedures. Conclusions Use of the radially expanding access device is associated with far fewer abdominal injuries, reduced pain and a much lower incidence of incisional hernia.

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Section: Thementioning

confidence: 99%

Making the case for the radially expanding access system

Turner¹

1999

Gynaecol Endoscopy

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“…This has raised concerns regarding the safety of pediatric laparoscopy. Studies have reported various complication rates [1][2][3][4]. Most complications are related to the insertion of the first port [5], and there are various methods for doing this.…”

Section: Introductionmentioning

confidence: 99%

A modified open technique using the Veress needle through facial defect for port insertion in pediatric laparoscopy

et al. 2019

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Objectives Laparoscopic procedures are being performed in infants and children much more frequently. Nevertheless, there is anxiety about complications resulting from port insertion due to the smaller abdominal cavity in children. Most complications are related to the entry of the first port. In this study, we present our patients who underwent laparoscopy using our modified Veress needle technique. Methods The hospital records of the patients who underwent laparoscopy between 2010 and 2015 were evaluated retrospectively regarding intraoperative and postoperative complications. In all patients, the first port was inserted using our modified Veress needle technique. Results Laparoscopic procedures were performed on 139 patients. There were no major intraoperative or postoperative complications such as visceral or vascular injury in our patients. Only 5 (3.5%) minor complications were determined intraoperatively. Minor intraoperative complications included port dislocation (n = 2), intra-abdominal gas leakage (n = 1), subcutaneous emphysema (n = 1), and abdominal wall bleeding (n = 1). There were no minor complications postoperatively. Conclusion In our technique, the umbilicus is pulled upwards strongly, reducing the risk of intra-abdominal injury.

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Developing neonatal minimally invasive surgery: Innovation, techniques, and helping an industry to change

Rothenberg

2015

Journal of Pediatric Surgery

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A Clinical Evaluation of the Use of Radially Expandable Laparoscopic Access Devices in the Pediatric Population

Cited by 6 publications

References 13 publications

Making the case for the radially expanding access system

Making the case for the radially expanding access system

A modified open technique using the Veress needle through facial defect for port insertion in pediatric laparoscopy

Developing neonatal minimally invasive surgery: Innovation, techniques, and helping an industry to change

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