Complications of laparoscopic surgery in neonates and small infants

Laparoscopy Complications in Neonates and Small Infants

“…It was observed that the rate of visceral injuries (GIT and other organs) was significantly higher in smaller infants, and the probable causes are: (1) limited surgical field because of small telescope and fewer ports and incomplete preoperative bowel preparation to get rid of intestinal gases, (2) Sharp tip of instruments, (3) then and fragile gastrointestinal walls, (4) poor opportunity for learning and practicing these procedures. 1 In study 3 the percentage of complications in general was unremarkable but the vascular complications (Although small in number) have the potential to assume threatening proportions, i.e. the complications might be qualitative rather than quantitative.…”

Laparoscopy in Children and Infants

“…Complication rate is higher in children who weigh less than 5kg. This was observed by Iwanaka et al (2004) following Nissen's fundoplication. The little intra-abdominal space in this group of patients limits surgeon's movement and efficiency, and may contribute to a higher complication rate.…”

Gastroesophageal reflux surgery in newborns, and infants

“…Mide içeriğinin özofagusa pasajı gastroözofageal reflü (GÖR) olarak tanımlanır ve fizyolojiktir (1)(2)(3)(4) . Bu süreç büyüme geriliği, pnömoni, apne gibi komplikasyonlar ile sonuçlanıyorsa gastroözofageal reflü hastalığı (GÖRH) olarak tanımlanır (1,3,5) .…”

“…GÖR, sağlıklı yenidoğan ve preterm infantlarda %85 sıklıkla izlenir ve erkek/kız oranı 1.6'dır (1,6) . Çocukluk çağında spontan olarak prevalansı azalır (1)(2)(3) .…”

“…GÖRH'de ise gelişme geriliği, öksürük-morarma, apne, stridor, reaktif hava yolu, pnömoni, özofjit, özofagus darlığı, Sandifer sendromu, ani bebek ölümü görülebilir (1)(2)(6)(7)(8)(9)(10)(11)(12) . Medikal tedaviye yanıt vermeyen ciddi GÖRH ile bağlantılı bulguları olan yenidoğan ve bebeklerde antireflü cerrahisi gerekir (1,13) .…”