All You Need To Know About Laparoscopic Urology Surgery In Children

Posted by Dr Prashant Jain on December 2nd, 2020

Introduction

Before the advancement in the surgical field, the surgery was done by making a long incision at the site of the procedure. However, laparoscopic surgery has changed the way the operations are being conducted. Various types of surgeries are now possible through laparoscopy. There is an increasing trend of such surgeries due to the various advantages offered by laparoscopy. Urological surgeries in children are also performed through laparoscopy.

What Is The Scope Of Laparoscopy Surgery In Children?

Laparoscopy surgery in children is done for a long period. The surgeons are experienced enough to perform the surgery with high success rates. Because of the advanced technology and highly sophisticated machines along with extensive training obtained by the surgeons, laparoscopic surgery in children is on the rise. Fewer complications and reduction in surgical stress has increased the popularity of such surgery in children.

Are There Any Safety Issues With Laparoscopy In Children?

The safety of the children during laparoscopy surgery depends upon the following factors:

Expert surgeon: The surgeon performing the laparoscopic surgery should be an expert in pediatric surgery. Laparoscopic surgery done by expert surgeons have less risk of post-surgical complications.

The right dose of anesthesia: The dose of anesthesia is important for the success of the surgery. The dose given to the child should be accurate and should be given by an anesthesia expert who has experience in pediatric anesthesia.

Advanced equipment: Laparoscopic surgery should be done with advanced and sophisticated equipment. This will increase the chance of a positive outcome.

What Are The Various Laparoscopic Urology Surgeries Done In Children?

Following are some of the urological surgeries performed in children through laparoscopy:

Orchidopexy: Testis is normally present outside the belly. However, some of the infants have undescended testis. This means that the testis is not present outside the belly. Laparoscopy is the gold standard in the management of undescended testis. It helps the urologists in the diagnosis and management of this condition. A laparoscopic orchidopexy is done to treat this condition.

Nephrectomy: Surgeons may also perform complete as well as partial nephrotomy through laparoscopic surgeries. Nephrectomy is the process of removing the non-functional tissues of the kidney. Total nephrectomy involves the removal of the non-functional kidney, while partial nephrectomy includes the removal of the non-functional part of the duplex system.

Pyeloplasty: Pyeloplasty is the surgery done to the reconstruction of the ureter. The urine passage is abnormal due to the blockage or narrowing of the ureter. Pyeloplasty can be done through a minimally invasive procedure. It is one of the difficult surgeries to be conducted through laparoscopy.

Adrenal surgery: Adrenal gland is present above the kidney. There may be a tumor in the adrenal gland. Removal of the tumor can be done through laparoscopy.

Bladder Reconstruction: Abnormal bladder, which may have small size and high storage pressure, should be reconstructed to prevent complications such as urinary incontinence. Laparoscopy surgery is performed to reconstruct the bladder.

Anti-reflux Surgery: Vesicoureteral reflux may result in various complications, including recurrent urinary tract infection and kidney failure. The surgeons may perform laparoscopic surgery to correct the condition.

Hernia repair: Hernia repair surgery may also be done through laparoscopic surgery. The surgery is known as laparoscopic herniotomy and is done on day care basis.

Ovarian cyst treatment: Doctors may perform cyst decompression through laparoscopy. This is usually done in infants with  cysts in their ovaries.

DSD Surgery: Intersex surgeries in patients can be done through laparoscopy. These surgeries include laparoscopic hysterectomy.

What Are The Benefits Of Laparoscopy Surgeries In Children?

Laparoscopy surgery offers various advantages to the children. Following are some of the advantages:

Less pain: As compared to open surgery, the incision done in the laparoscopic surgery is small. Thus, the child feels very less pain as compared to open surgery.

Fewer post-operative complications: More the exposure of the internal tissues, more is the risk of infection and blood loss. In the laparoscopic surgery in children, there is a small exposure of the internal tissues. Thus, laparoscopic surgery has the advantage of less blood loss, reduced risk of infection, and fewer incidences of other post-surgical complications.

Short hospitalization and short recovery time: Due to the minimally invasive procedure, the laparoscopic surgery reduces the length of stay at the hospital. This results in a reduction in the overall cost. Further, the patient recovers faster after laparoscopic surgery as compared to open surgery due to low tissue damage.

What To Expect After Laparoscopic Urological Surgeries In Children?

After the surgeon performs the surgery, the para-medical staff shifts the child to the recovery room. The nurse will monitor the vital parameters of the child. Your child may feel mild pain after the surgery which is easily managed through analgesics. The surgeon allows feeding within a few hours after the surgery. The child may go home either same day or within a day or two after surgery.

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