Has Minimal Invasive Surgery Caused Alterations in Open Surgical Techniques?

Objectives: Some of the methods, which were routinely used in traditional open surgical techniques, have vanished nowadays as a result of technical and technological improvements. The aim of this study is to interrogate the responses of the surgeons who have different specialties but work on similar areas of the body to these technical alterations, and the feasibility of these methods in open surgery. Materials and Methods: The study included 90 pediatric surgeons, urologists and general surgeons. A questionnaire was developed asking about the changes that the surgeons faced since first performing endoscopic surgery. Results: The pediatric surgeons changed the accustomed surgical principles in six procedures (73%). Alterations of the urologists were in three pathologies (61%) and four pathologies (72%) in general surgeons. Eighty-six percent of pediatric surgeons, 27% of urologists and 40% of general surgeons were using these alterations of endoscopic techniques in open surgery as well. Conclusion: In this study minimal invasive surgery (MIS) techniques have changed some of the accustomed surgical principles of open surgery. MIS were misevaluated as being close techniques to open surgeries, yet they are in fact a separate branch of surgery, which have many unique technical features. This approach may cause additional changes in open techniques by developing supportive and innovative aspects of MIS.