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Children are the most vulnerable and precious humans, and the severe pain and suffering associated with routine medical procedures can be overwhelming for them to endure. Scientific advancements have produced novel, creative, and minimally invasive surgical procedures to minimise this discomfort. Minimally invasive surgery (MIS) uses fewer tools and smaller incisions than traditional surgical methods. By utilising minuscule incisions, a fraction of the size of those used in conventional surgery, minimal access surgery, Manipal Hospitals aims to accomplish comparable or superior therapeutic results with far less harm to a child's body and organs. Because minimally invasive surgery provides so many advantages for patients, it is now an essential part of training for all paediatric surgeons. MIS offers advantages, but it also has drawbacks, such as longer learning curves and higher equipment expenses. However, due to its favourable effect on patient outcomes, it continues to be a useful strategy in paediatric surgery.
Minimally invasive surgery has replaced the traditional approach of making a single, long incision of up to 24 inches. This new approach involves creating multiple smaller incisions, each less than half an inch long. The use of slender tubes containing cameras, surgical instruments, and retractors enables the creation of these small cuts. In robotic-assisted procedures, the surgeon controls these tubes with robotic arms, ensuring precise movements and eliminating any potential hand tremors.
The following categories typically include minimally invasive surgery:
Endoscopy: The surgeon uses the endoscope to perform the surgery, entering the body through its natural openings without making any incisions.
Laparoscopy: The surgeon inserts the scope and specific surgical instruments into the body through tiny incisions, frequently referred to as "keyhole" incisions.
Robotic-assisted surgery: Robotic-assisted surgery, also known as robotic surgery, involves the surgeon creating multiple small incisions to navigate the scope and robotic instruments inside the body. The surgeon then operates the surgery by sitting at a computer console nearby.
Fundoplication surgery: While it does help with preventing reflux and vomiting caused by gastroesophageal reflux, the procedure does not address the root cause of the reflux. After the surgery, some children may experience retching. To alleviate this, the feeding schedule can be modified, but for some, feeding may become a long-term issue.
The complexity and nature of the surgery will determine how long the minimum access surgery takes. MIS uses more sophisticated techniques and requires fewer incisions than standard open surgery, which shortens the duration of the procedure. You can find out the exact length of the surgery during your visit with the paediatric surgeon.
Not all paediatric patients are candidates for minimal access surgery (MAS). The choice is based on the surgeon's experience, the intricacy of the procedure, and the particular medical state of the child. Several factors, such as overall health, anatomical factors, and the specific condition being addressed, can impact suitability. Although MAS has many advantages, the best surgical strategy for each case must be determined after a thorough evaluation of all the factors.
Children who undergo minimal access surgery (MAS) benefit from several advantages, such as shortened hospital stays, faster recovery periods, and less pain following surgery. Smaller scars are the outcome, improving cosmetic results. Because MAS is minimally invasive, there is a decreased chance of infection and other problems that come with making big incisions. Children also recover from psychological stress more quickly and can resume regular activities sooner, which enhances their general quality of life and lessens the disruption of family routines.
The care team for your child offers a thorough plan to ensure the quickest possible recovery.
Pain management: The physician who sees your kid will give you at-home instructions for managing their discomfort. Acetaminophen or ibuprofen may be needed to manage their pain. It is sometimes advisable to recommend the use of pain medication for a short period.
Eating and drinking: After being released from the hospital, your child can usually resume their regular diet.
Activity: Your youngster should progressively resume their activities. Keep your youngster at home if they are taking prescription painkillers. Certain activity guidelines and restrictions are necessary for some complicated operations. You will receive these instructions from your child's care team.
Here's what you can do to help your child recover smoothly after a Laparoscopy:
Encourage your child to get up and walk around often. It helps them recover faster.
Don't let your child eat or drink too much if they feel sick.
Don't let your child shower on the first day after surgery. When showering, pat the wounds dry with a towel. Don't take a bath until the doctor says so.
Remove wet surgical dressings after 24 hours.
Do not take off the steri-strips or special tape until instructed by the doctor.
After surgery, remind your child to try deep breaths. It may hurt, but it helps them recover and avoids complications.
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