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With a prospective Morbidity and Mortality database, all the minimal access surgical procedures carried out between and were included in this study. Statistical analyses were used to valuate modification of surgical techniques in to 2 periods period 1: January to February ; period 2: February to February A total of minimal access procedures were performed on patients.

The overall complication rate was 2. These results provide the relevance of adequate recording system and standardized classification for analyses and reduction of complications for pediatric minimal access procedures.

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Laparoscopy

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  1. Laparoscopic surgery in children | Archives of Disease in Childhood;
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Monitoring should include continuous electrocardiogram, pulse oximetry, non-invasive blood pressure measurement, PETCO2 measurement and temperature monitoring. A precordial stethoscope is useful in infants. Peak inspiratory pressuse should also be watched closely. Postoperative analgesia is best provided with a multimodal approach using a combination of local infiltration of the trocar insertion site, opioids and nonsteroidal anti-inflammatory drugs.

Caudal epidural block has been demonstrated to be effective following inguinal herniorrhaphy with laparoscopy in children. Laparoscopic surgery has found increasing applications in the adult patient population all over the world and it is reasonable to assume that it will do so in the paediatric patients. With minor modifications in anaesthetic technique and appropriate care, laparoscopic approach to surgical procedures has been shown to be safe even in the neonatal patient. The patient's underlying cardiorespiratory status, pre-existing medical conditions and the changes in cardiorespiratory physiology induced by laparoscopy should be taken into consideration when planning the anaesthetic technique for these patients.


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  • The challenge of the future is appropriate application of these procedures while maintaining the child's safety as the foremost concern. The effect of insufflation pressure on pulmonary mechanics in infants during laparoscopic surgical procedures. Paediatric Anaesthesia ; Laparoscopic cholecystectomy in the pediatric patient. J Pediatr Surg ; Laparoscopy in infants and children: a prospective study on feasibility and the impact on routine surgery.

    Laparoscopic evaluation for a contralateral patent processus vaginalis.

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    J pediatr Surg ; Changes in respiratory mechanics during abdominal laparoscopic surgery in children. Anaesth Intensive Care ; Hemodynamic and respiratory alterations with increased abdominal pressure. J Surg Res ;20 Abs :A Cardiorespiratory changes in children during laparoscopy. The hemodynamic effects of pneumoperitoneum during laparoscopic surgery in healthy infants: Assessment by continuous esophageal aortic blood flow echo-doppler.

    Anesth Analg ; Transoesophageal echocardiographic assessment of haemodynamic changes during laparoscopic herniorrhaphy in small children.

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    British J Anaesth ; Cardiocirculatory changes during videolaparoscopy in children: an echocardiographic study. Paediatr Anaesth ; Sfez M. Letter to the editor.

    What are the benefits of laparoscopy?

    Left ventricular regional wall motion abnormalities during pneumoperitoneum in children. Davenport M. Laparoscopic surgery in children. Ann R Coll Surg Engl ; Tobias JD. Anesthetic considerations for laparoscopy in children. Semin Laparosc Surg ; Specifics of anaesthesiology in laparoscopic surgery in infancy. Zentralbl Chir ; Abs :A Effects of increased intra-abdominal pressure upon intracranial and cerebral perfusion pressure before and after volume expansion.

    J Trauma ; Can J Anaesth ; Preserved CO2 reactivity and increase in middle cerebral arterial blood flow velocity during laparoscopic surgery in children. Anesth Analg ; Laparoscopic fundoplication in children: anaesthetic experience of 51 cases. Paediatr Anaesth ;10 Abs :A Respiratory effects of prolonged Trendelenburg position.

    Br J Anaesth ; Systemic stress response during operations for acute abdominal pain performed via laparoscopy or laparotomy in children. Anaesthesia ; Pneumothorax during laparoscopic fundoplication: Diagnosis and treatment with positive end-expiratory pressure. General anaesthesia using the laryngeal mask airway during brief laparoscopic inspection of the peritoneum in children.

    Laparoscopic Cholecystectomy for 5 Year Old Child

    J Laparoendosc Surg. Anaesthesia for laparoscopic surgery in pediatrics. Ann Fr Reanim ; Caudal epidural block for analgesia following herniorrhaphy with laparoscopy in children. J Laparoendosc Surg ; Laparoscopic surgery has several advantages over conventional surgery for the patient.

    An increasing number of diagnostic and surgical procedures are being done laparoscopic not only in adults but also in paediatrics patients. In addition to the routine anaesthetic considerations for any surgical patient, the choice of the anaesthetic technique in patients undergoing laparoscopic procedures should consider the patient's underlying cardio respiratory functions induced by the pneumoperitoneum and carbon dioxide [CO2] insufflations. This article describes the physiological alterations induced by laparoscopic procedures in children and the anaesthetic implications of laparoscopic in the paediatric patient population.

    Journal of the Pakistan Medical Association has agreed to receive and publish manuscripts in accordance with the principles of the following committees:.