J Laparoendosc Adv Surg Tech A
September 2024
Ensuring patient safety in minimally invasive surgery (MIS) within the field of pediatric surgery requires systematic and extensive practice. Many groups have proposed mastery learning programs encompassing a range of training methods. However, short courses often have a narrow focus on specific objectives, limiting opportunities for sustained training.
View Article and Find Full Text PDFCongenital tracheoesophageal fistula not associated with esophageal atresia, known as H-type fistula, is an uncommon anomaly. It presents with cough, choking, and cyanosis during feeding and/or recurrent pneumonia. Although symptoms are usually present from birth, diagnosis is difficult.
View Article and Find Full Text PDFBackground / Purpose: The aim of this report is to present our experience with a magnetic-assisted single-site cholecystectomy technique ("magnachole") in pediatric patients.
Methods: We performed a retrospective chart review of all patients who underwent magnachole between 2009 and 2019. We evaluated patients' demographics, diagnosis, operative time, complications, conversion rate and length of stay.
Objective: Acquiring surgical skills requires regular practice. Medical evidence supports that these skills can be learned outside the operating room (OR). The aim of the current study was to describe the first laparoscopic simulator for ureteral reimplantation (LAP-SPUR) following Lich- Gregoir technique.
View Article and Find Full Text PDFBackground: Haller Index (HI) ≥3.25 by computed tomography (CT) at end-inspiration has been used to indicate surgical correction in patients with pectus excavatum. However, chest wall diameters vary with breathing and may modify HI values and surgical indications.
View Article and Find Full Text PDFObjectives: The use of magnets in transumbilical cholecystectomy (TUC) improves triangulation and achieves an optimal critical view. Nonetheless, the tendency of the magnets to collide hinders the process. In order to simplify the surgical technique, we developed a hybrid model with a single magnet and a curved grasper.
View Article and Find Full Text PDFInterspecific competition in herbivorous insects remains a controversial issue. To date, many studied systems have not met assumptions of the traditional competition theory, and a new paradigm has been emerging. We examined the behavioral and life-history consequences of common host plant use of Heliconius erato and Dryas iulia (Nymphalidae) in relation to Passiflora suberosa (Passifloraceae).
View Article and Find Full Text PDFJ Laparoendosc Adv Surg Tech A
May 2013
Background: Single-incision laparoscopic surgery (SILS) is increasingly being used to treat acute appendicitis. Existing SILS techniques suffer from inefficient triangulation and poor ergonomics. In an effort to improve on existing SILS techniques, we developed the magnet-assisted single trocar (MAST) appendectomy.
View Article and Find Full Text PDFSemin Pediatr Surg
November 2011
Single-site umbilical incision laparoscopic surgery (SSULS) is increasingly being used to treat a variety of childhood surgical diseases. Existing SSULS approaches have inefficient triangulation and poor ergonomics. In an effort to overcome these shortcomings, magnet-assisted laparoscopy was developed.
View Article and Find Full Text PDFWe introduce a simple method of fixing trocars to the abdominal wall in children. After the trocar is inserted into the abdominal wall, we place a 2/0 silk suture through the skin next to the trocar, then a sterile Nylon 6.6 plastic seal (Sumar Inc, Buenos Aires, Argentina) is wrapped around the trocar and the end of one of the sutures.
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