Paediatric Laparoscopic Surgery

Laparoscopic surgery is a procedure your child’s doctor uses to avoid major surgery and a long healing time after surgery. For this kind of surgery, the doctor inserts small, hollow tubes, called cannulas, through small slits (incisions) in your child’s skin. Then special instruments are placed inside the tubes.

Who Needs Paediatric Laparoscopic Surgery

Children with a range of surgical conditions can benefit from paediatric laparoscopic surgery, including but not limited to:

• Appendicitis: Removal of the inflamed appendix.

• Hernias: Repair of inguinal or umbilical hernias.

• Gallbladder Issues: Removal of the gallbladder (cholecystectomy).

• Gastrointestinal Disorders: Treatment of conditions like pyloric stenosis or intestinal obstruction.

• Urological Conditions: Correction of vesicoureteral reflux or undescended testicles.

• Tumour Resections: Removal of certain tumours or cysts.

When to See a Specialist

If your child is diagnosed with a surgical condition or exhibits symptoms such as abdominal pain, swelling, or difficulty eating, it’s important to consult a paediatrician. If surgery is recommended, your paediatrician may refer you to a paediatric surgeon with expertise in laparoscopic techniques.

Procedure

• Preparation: Before surgery, your child will undergo a thorough medical evaluation, including tests and imaging to ensure they are fit for the procedure.

• Anaesthesia: General anaesthesia is administered to ensure your child’s comfort and safety during the surgery.

• Incisions: Small incisions, usually around half an inch, are made near the surgical site. One of these incisions accommodates the laparoscope, a thin camera that transmits images to a monitor.

• Instrument Insertion: Specialized surgical instruments are inserted through the other incisions to perform the procedure under the guidance of the camera.

• Surgery: The surgeon performs the necessary surgical steps, whether it’s removing an appendix, repairing a hernia, or addressing another issue.

• Closure: After completing the surgery, the incisions are closed with sutures or adhesive strips.

Road to Recovery

Recovery after paediatric laparoscopic surgery is generally quicker compared to open surgery. Your child may experience mild discomfort, which can be managed with pain medication. Most children can resume normal activities within a few days to a week, depending on the nature of the procedure.

Risk Management

While paediatric laparoscopic surgery is considered safer than open surgery, it still carries some risks, including infection, bleeding, and complications related to anaesthesia. Skilled paediatric surgeons, advanced technology, and specialized paediatric facilities help manage and minimize these risks.

Benefits of Paediatric Laparoscopic Surgery

• Minimal Scarring: Small incisions lead to smaller scars, which can be especially beneficial for growing children concerned about their appearance.

• Faster Recovery: Shorter hospital stays and quicker recovery times mean less disruption to your child’s daily routine.

• Reduced Pain: Less tissue trauma often results in less post-operative pain and discomfort.

Frequently Asked Questions

1. Is laparoscopic surgery safe for infants and young children?

   Yes, laparoscopic surgery can be safely performed on infants and young children by experienced paediatric surgeons.

    

2. How long does a paediatric laparoscopic procedure take?

   The duration varies based on the specific procedure, but many surgeries can be completed within a couple of hours.

    

3. Will my child have stitches after the surgery?

   Yes, small incisions are closed with stitches or adhesive strips, which will dissolve or be removed as the incisions heal.

    

4. Can my child eat normally after the surgery?

   Depending on the procedure, your child’s diet may need to be adjusted temporarily. Your surgeon will provide dietary guidelines.

    

5. How can I prepare my child for laparoscopic surgery?

   Explain the procedure in age-appropriate terms and offer emotional support. Following pre-operative instructions is essential for a successful surgery.