Advances in minimally invasive surgery in children
Minimal access pediatric surgery has developed more slowly than its adult counterpart for several reasons. Surgical pain and perioperative stress associated with open procedures have been underappreciated in children. Appropriately sized instrumentation was slow to develop because the focus of the m...
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| Veröffentlicht in: | The American journal of surgery 2000-11, Vol.180 (5), p.362-364 |
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| container_title | The American journal of surgery |
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| creator | Georgeson, Keith E Owings, Elizabeth |
| description | Minimal access pediatric surgery has developed more slowly than its adult counterpart for several reasons. Surgical pain and perioperative stress associated with open procedures have been underappreciated in children. Appropriately sized instrumentation was slow to develop because the focus of the marketplace was the adult. The advanced techniques required for pediatric laparoscopic procedures are associated with a relatively long learning curve. Reports documenting the safety, efficacy, and cost effectiveness of pediatric endosurgery are fueling a rapid evolution in instrumentation and minimal access procedures for children. This evolution will eventually influence most pediatric surgical procedures, changing the paradigm of the practice of pediatric surgery. It is the pediatric patient who has the most to gain from these alterations in their surgical care with less pain, decreased hospital days, and earlier return to regular activities. |
| doi_str_mv | 10.1016/S0002-9610(00)00554-7 |
| format | Article |
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Surgical pain and perioperative stress associated with open procedures have been underappreciated in children. Appropriately sized instrumentation was slow to develop because the focus of the marketplace was the adult. The advanced techniques required for pediatric laparoscopic procedures are associated with a relatively long learning curve. Reports documenting the safety, efficacy, and cost effectiveness of pediatric endosurgery are fueling a rapid evolution in instrumentation and minimal access procedures for children. This evolution will eventually influence most pediatric surgical procedures, changing the paradigm of the practice of pediatric surgery. 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Surgical pain and perioperative stress associated with open procedures have been underappreciated in children. Appropriately sized instrumentation was slow to develop because the focus of the marketplace was the adult. The advanced techniques required for pediatric laparoscopic procedures are associated with a relatively long learning curve. Reports documenting the safety, efficacy, and cost effectiveness of pediatric endosurgery are fueling a rapid evolution in instrumentation and minimal access procedures for children. This evolution will eventually influence most pediatric surgical procedures, changing the paradigm of the practice of pediatric surgery. It is the pediatric patient who has the most to gain from these alterations in their surgical care with less pain, decreased hospital days, and earlier return to regular activities.</description><subject>19th century</subject><subject>Abdomen</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Anus</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy, Laparoscopic</subject><subject>Colon</subject><subject>Cost effectiveness</subject><subject>Disease</subject><subject>Endoscopy</subject><subject>Evolution</subject><subject>Follow-Up Studies</subject><subject>Gastroesophageal reflux</subject><subject>Hospital costs</subject><subject>Humans</subject><subject>Instrumentation</subject><subject>Instruments</subject><subject>Laparoscopy</subject><subject>Learning curves</subject><subject>Medical sciences</subject><subject>Minimally invasive surgery</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Ostomy</subject><subject>Pain</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Recurrence</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Technology. Biomaterials. 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| subjects | 19th century Abdomen Adult Age Factors Anus Biological and medical sciences Biopsy Child Child, Preschool Children Cholecystectomy Cholecystectomy, Laparoscopic Colon Cost effectiveness Disease Endoscopy Evolution Follow-Up Studies Gastroesophageal reflux Hospital costs Humans Instrumentation Instruments Laparoscopy Learning curves Medical sciences Minimally invasive surgery Minimally Invasive Surgical Procedures Ostomy Pain Patients Pediatrics Recurrence Surgeons Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Technology. Biomaterials. Equipments Time Factors |
| title | Advances in minimally invasive surgery in children |
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