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Paediatric laparoscopy/laparoscopic surgery/minimal access surgery

OVERVIEW

Laparoscopy, also referred to as keyhole or minimally invasive surgery, is a surgical procedure utilised for diagnosing and treating various conditions within the abdominal and pelvic cavities. Unlike traditional surgery that requires a large incision, laparoscopic surgery involves the placement of a small camera and surgical instruments through tiny incisions in the abdomen. This surgical technique has gained popularity in recent years due to its numerous benefits for both patients and surgeons.

This approach results in less pain, faster recovery times, and fewer complications compared to traditional open surgery. Laparoscopy can be used for a wide range of procedures, including appendix removal, hernia repair, and Nissen fundoplication. In recent years, its popularity has increased significantly due to the numerous benefits it offers.

When is laparoscopy/laparoscopic surgery indicated?

Laparoscopy or laparoscopic surgery is indicated for various medical conditions when a diagnostic or therapeutic intervention is required in the abdominal or pelvic region. Various conditions can be diagnosed and treated using this approach, including:

Digestive disorders, such as appendicitis, hernias, gallstones, and inflammatory bowel disease.
Cancer
Liver and spleen disorders, such as tumours and cysts.
Urinary system problems, such as kidney stones and tumours.

Laparoscopic surgery may also be indicated in cases where traditional open surgery is contraindicated, such as in patients who have previously undergone abdominal surgery, are obese, or have a medical condition that increases their risk of complications. However, the specific indications for laparoscopy will depend on the individual patient and their medical condition.

How is a laparoscopy / laparoscopic surgery performed?

Laparoscopy, or laparoscopic surgery, is typically performed under general anaesthesia and involves the following steps:

Small incisions: The surgeon makes several small incisions in the abdomen, typically 0.5 to 1.5 cm in size.
Trocar insertion: Trocars, or specialised instruments that allow access to the abdominal cavity, are inserted through incisions.
Camera insertion: A laparoscope, which is a thin tube with a camera and light source at the end, is inserted through one of the incisions to allow the surgeon to view the inside of the abdomen on a monitor.
Procedure: The surgeon uses specialised instruments, such as graspers, scissors, and electrocautery devices, to perform the necessary procedure. The laparoscope provides a magnified view of the surgical site and allows the surgeon to perform the procedure with precision.
Closure: Once the procedure is complete, the instruments are taken out, and the incisions are closed with stitches or surgical glue.
Recovery: After the surgery, the patient is closely monitored and may be discharged the same day or kept in the hospital for a short period of time. Recovery time is typically shorter compared to open surgery, and patients may experience less pain and scarring.

Laparoscopic surgery may take longer to perform compared to traditional open surgery due to the need for specialised instruments and the use of a laparoscope. However, the benefits of reduced pain, scarring, and faster recovery times often make it a preferred option for many surgical procedures.

REQUEST A CONSULTATION

Dr Mangray, the founder of KZN Specialised Paediatric Surgical Service, and his associates, Dr Ngobese, Dr Govender and Dr Dube-Zvirikuzhe, have a well-established reputation for caring for children right until late adolescence.

FREQUENTLY ASKED QUESTIONS

FAQ

1What are the risks of laparoscopic surgery?

Like any surgical procedure, laparoscopic surgery carries some risks, such as bleeding, infection, and damage to internal organs. There is also a small risk of complications related to anaesthesia. However, the risk of complications is generally lower with laparoscopic surgery compared to traditional open surgery.

2Will I be awake during laparoscopic surgery?

No, laparoscopic surgery is typically performed under general anaesthesia, which means that you will be sedated throughout the procedure.

3Is laparoscopic surgery more costly than open surgery?

Laparoscopic surgery may be slightly more expensive than traditional open surgery due to the specialised instruments and equipment required. However, the reduced hospital stay and faster recovery time may ultimately result in lower overall costs.