By A. Smamsa
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Extra resources for Advanced Laparoscopy
Lessa, MA. (2009). Beneficial effects of high positiveend-expiratory pressure in lung respiratory mechanics during laparoscopic surgery. Acta Anaesthesiol Scand, Vol. 2, (Feb 2009), pp. 210 –7, ISSN 0001-5172 Mavrocordatos, P; Bissonnette, B. & Ravussin, P. (2000). Effects of neck position and head elevation on intracranial pressure in anesthetized neurosurgical patients. 1, (Jan 2000), pp. 10–4, ISSN 0898- 4921 McCloy, R; Randall, D; Schug, SA; Kehlet, H; Simanski, C; Bonnet, F; Camu, F; Fischer, B; Joshi, G; Rawal, N.
Bax and van der Zee (2004) reported improved outcome from laparoscopy assisted interruption of the median sacral artery and dissection of the internal component of sacrococcygeal teratomas. Desai et al (2009) reported the ligation of median sacral artery in a premature neonate with a giant sacrococcygeal teratoma achieving minimal blood loss in the remaining part of the surgery. 2 Laparoscopy in trauma Diagnostic laparoscopy is gaining increasing application in paediatric trauma in the stable patient with equivocal clinical parameters not requiring immediate laparotomy but not symptom-free.
Raveenthiran (2010) argues that laparoscopy should not be a preferred option in children as they have nothing to benefit from early return home, having no loss of wages to account for. However, the cost of hospital admission and also early return to work for parents counters this stance. The psychologic trauma of separation from usual environment, siblings, play toys or equipment has been documented and may be enough to delay a child’s recovery. Problems such as nocturnal enuresis and disrupted sleep patterns have been noted to be decreased with reduction in hospital stay (Brennan & Prabhu, 2003).
Advanced Laparoscopy by A. Smamsa