Minimally invasive surgery for ovarian cysts in children

Hashish, Amel A.

doi:10.1097/01.xps.0000405383.39294.3f

Cited by 7 publications

(9 citation statements)

References 30 publications

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“…It is comparable to published results using the laparoscopic approach [20]. We did not encounter any complications related to this pathological entity using this approach.…”

Section: Discussionsupporting

confidence: 88%

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The versatility of the transumbilical approach for laparotomy in infants

Elhalaby¹,

Hassan²,

Hashish³

et al. 2015

Annals of Pediatric Surgery

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Background/purpose Although the transumbilical approach became very popular for pyloromyotomy, it has not been widely used in other procedures in children. The aim of this work was to evaluate the safety and the versatility of this approach for laparotomy in infants.Patients and methods All hemodynamically stable neonates and infants with gastrointestinal surgical problems or pelvic or abdominal cystic masses were considered candidates for this approach. The umbilicus was incised nearly circumferentially, and the peritoneum was entered in the midline in a cephalic or caudal direction depending on the site of the lesion. The bowel or the mass was delivered outside the peritoneal cavity, and the procedure was completed in the standard open manner. Patients were evaluated with regard to the feasibility of the surgery and or any difficulty to complete the surgery, any complications related to the approach, and the cosmetic outcome.Results A total of 141 infants underwent transumbilical laparotomy during the period from June 2008 to December 2013. The primary pathology was hypertrophic pyloric stenosis (n = 65), duodenal, small-intestinal atresia/ stricture (n = 22), colonic atresia (n = 2), malrotation with/ without volvulus (n = 10), ovarian cysts (n = 12), intussusception (n = 9), spontaneous intestinal perforation (n = 7), remnants of vitellointestinal duct (n = 4), mesenteric cysts (n = 3), patent urachus (n = 3), postoperative complications of strangulated inguinal hernia (n = 3), and complications in ventriculoperitoneal shunts (n = 1). Their age ranged from 1 day to 22 months. The operating time ranged from 30 to 120 min. Three patients required transverse extension of the wound. Two (1.4%) patients developed dehiscence of the wound that required wound closure. Five (3.5%) patients had superficial periumbilical cellulitis and wound infections, and one patient had suture reaction treated conservatively. Late complications (adhesive intestinal obstruction) occurred in three (2%) patients. Parents were very satisfied with the final cosmetic outcome.Conclusion The transumbilical approach is both a feasible and a safe approach for a broad spectrum of surgical procedures in neonates and infants. The cosmetic results are excellent.

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“…It is comparable to published results using the laparoscopic approach [20]. We did not encounter any complications related to this pathological entity using this approach.…”

Section: Discussionsupporting

confidence: 88%

“…Some pathologies were compared with a control group in previously published studies [20,25,26]. Some pathologies were compared with a control group in previously published studies [20,25,26].…”

Section: Discussionmentioning

confidence: 99%

The versatility of the transumbilical approach for laparotomy in infants

Elhalaby¹,

Hassan²,

Hashish³

et al. 2015

Annals of Pediatric Surgery

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“…We have reported the versatility of transumbilical approach for management of various abdominal pathology in infants [15,16]. Our hypothesis was that such approach may be feasible in children with GOO following acid corrosive ingestion.…”

Section: Discussionmentioning

confidence: 99%

“…Excellent cosmetic results were reported after this approach [12,13]. During the past decade, this technique and its modifications have been used for treatment of a variety of surgical intra-abdominal diseases [14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

The safety and efficacy of the trans-umbilical approach for pyloroplasty in the management of post-acid corrosive gastric outlet obstruction in children

et al. 2021

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Background Gastric outlet obstruction (GOO) may follow acid corrosive ingestion. Several surgical techniques have been reported after the failure of endoscopic dilatation. The aim of this study was to evaluate the feasibility and safety of Heinecke-Mikulicz pyloroplasty (HMP) through a circum-umbilical skin incision in children with pyloric stricture after accidental acid corrosive ingestion. Results Seven patients were males and 4 were females, their ages ranged from 17 months to 6 years at the time of definitive treatment. The surgery was completed successfully in all patients through the circum-umbilical incision. Vertical extension of skin incision was needed in one patient. The pylorus was grossly affected in 9 patients. Both pylorus and gastric antrum were involved in 2 patients. Nine patients had an excellent postoperative course with the cessation of vomiting and progressive weight gain. One patient developed postoperative recurrent stricture treated by gastrojejunostomy. Another patient with associated esophageal stricture responded to repeated endoscopic dilatation for the esophageal stricture and pyloroplasty for the pyloric stricture. No surgical site infection or wound dehiscence occurred in any patient. Conclusion Heinecke-Mikulicz pyloroplasty through a circum-umbilical approach is both feasible and safe in the majority of children with post-acid corrosive GOO. It is associated with satisfactory wound healing and excellent cosmetic outcome. Different techniques are recommended in cases of severe pyloric stricture associated with significant proximal gastric antral scarring.

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“…Over kistlerinde ana hedef over koruyucu cerrahi yapmaktır. Bu nedenle torsiyone olmuş kistlerde bile laparoskopik olarak detorsiyon yapılmalı kist aspire edilerek, yapılabiliyorsa deepitelize edilmeli, daha sonra yine girilerek overin canlılığı değerlendirilmelidir (4,7,15,(30)(31)(32)(33) . Zira, over dokusu testise göre iskemiye çok daha dayanıklı bir dokudur (34) .…”

Section: Yaklaşımunclassified

Laparoscopic approach to ovarian masses

Günaydın¹

2016

Tccd

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ÖzAdneksiyal kitleler, çocukluk çağında görülen kitlelerin [1][2] GirişAdneksial kitleler, çocukluk çağında görülen kitlelerin %1-2'sini oluşturur. Bunların % 60-70'i over kaynaklı olup, çoğunlukla basit kistlerdir ve % 97'si benindir (1)(2)(3)(4) . Over kitleleri benin ve malin kitleler olarak kabaca ikiye ayrılır. Benin kitleler arasında folikül kisti, korpus luteum kisti gibi disfonksiyonel kistler, seröz-müsinöz kistadenom gibi benin epitelyal neoplastik kistler, fibroma, tekoma gibi benin solid tümör-ler, paraovarian kistler ve tubo-ovarian abseler akla gelir. Malin kitleler ise epitelyal, germ hücreleri ve sex-cord stromal kaynaklı tümörlerdir (1,2,(4)(5)(6)(7) .Minimal invazif cerrahi, günümüzde yaygın olarak uygulanan, robotik cerrahinin de gelişmesi ile geleceğin cerrahisi olma yolunda büyük ilerleme kaydeden cerrahi yaklaşımdır. Geçmişte, jinekolojide laparoskopi, tanısal amaçlı ve tüp ligasyonu ile sınırlıyken, günümüzde laparoskopik minimal invazif girişimler-deki ilerlemeye paralel olarak jinekolojide de kullanı-mı ve girişim çeşidi artmıştır. Bu bağlamda, konumuz olan çocuklarda over kitlelerine minimal invazif yaklaşım da kabul görmüş ve hemen her çocuk cerrahisi kliniğinde uygulanır hale gelmiştir. Bu yazıda over kitlelerinin tanı ve tedavisinde laparoskopik yaklaAlındığı tarih: 07.03.2016

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Minimally invasive surgery for ovarian cysts in children

Cited by 7 publications

References 30 publications

The versatility of the transumbilical approach for laparotomy in infants

The versatility of the transumbilical approach for laparotomy in infants

The safety and efficacy of the trans-umbilical approach for pyloroplasty in the management of post-acid corrosive gastric outlet obstruction in children

Laparoscopic approach to ovarian masses

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