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Minimal Access Surgery (MAS) in Children

Minimal Access Surgery (MAS) in Children
Traditionally, Surgery involved making large cuts over the abdomen or chest to enter into these cavities & operate on the internal organs. Obviously, this type of surgery was associated with a lot of pain & discomfort to the child. The wounds took a long time to heal during which period the child could not move or play. Finally, the large, ugly scars resulted in psychologic issus & poor body image for the child.
 
Minimal Access Surgery (MAS, otherwise called 'Keyhole surgery') has revolutionalized both adult & pediatric surgery in the new millennium. Here, the same operations are performed by inserting small (3 to 5 millimeter size) instruments into body cavities either thru natural body orifices or thru tiny holes made on the chest or abdomen. A small but powerful telescope shows a magnified view of the internal organs (10-15 times magnified) projected on to a screen. The operation is carried out by small, delicate, special instruments. The advantages of MAS are

  • Magnified view during surgery, hence more accurate surgery (especially in babies & children where the organs are very small)
  • Minimal postoperative pain only
  • Early recovery, early feeding
  • Early return to full activity & early discharge
  • The most minimal scar
  • Greatly reduced chance of wound complications (like infection & wound breakdown which are common in open surgery)
  • Less of post-operative adhesions
  • Less long-term psychologic issues associated with scar

Laparoscopic operations in children (General Pediatric Surgery)

  • Appendicectomy (including complicated appendicitis)
  • Herniotomy
  • Orchiopexy for nonpalpable undescended testis
  • Laparoscopic intussusception reduction
  • Pyloromyotomy for IHPS
  • Fundoplication
  • Heller-Dor operation for Achalasia
  • Laparoscopic Ladd’s procedure for malrotation
  • Choledochal cyst excision & reconstruction
  • Laparoscopic Cystogastrostomy for pancreatic Pseudocyst
  • Meckel’s diverticulectomy
  • Ovarian cystectomy (including neonates)
  • Diagnostic procedures and biopsies
  • Laparoscopic assisted Pull-Thru operations for Hirschprung's Disease & Anoractal Malformations
  • Cholecystectomy
  • Splenectomy

 

MAS Operations in Pediatric Urology

  • Laparoscopic Pyeloplasty (We have done over 150 lap pyeloplasties in infants & children as young as 1 month & 3Kg wt)
  • Laparoscopic Nephrectomy/Nephroureterectomy (to remove a nonfunctioning kidney)
  • Laparoscopic Ureteric Reimplantation
  • Laparoscopic Pyelolithotomy (removal of kidney stones)
  • Cystoscopic Fulguration of PUV (including neonates)
  • Cystoscopic Deflux injection for Vesicoureteric reflux (VUR)

 

MAS in thoracic surgery in children
 
Thoracoscopic repair of Congenital Diaphragmatic Hernia                                                   

  • Thoracoscopic repair of Diaphragmatic Eventration
  • Thoracoscopic repair of mediastinal cysts (Duplication cysts & Bronchogenic cysts)
  • Thoracoscopic biopsy of mediastinal masses
  • Thoracoscopic Lung Biopsy
  • Thoracoscopic Aortopexy
  • Bronchoscopy for removal of Foreign bodies in the airway & BAL procedures

 

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Thanks From Parents

Niharika

Aarav, who underwent single-stage repair of midpenile hypospadias in May 2015.

Deepika

My son, from the day he born he became my entire life.. From the day 1 he started tensing me.

Harika

My son is now four months old.

K Mahendar Yadav

My Son Master ShivCharan aged 2 months was suffering from Stomach-ache and vomiting, where he was un

Akheel Khan

After consulting with many doctors in Hyderabad, we decided not to opt for the surgery until he atta