Elnur Nurullaev, Pediatric Surgeon
Laparoscopic
operations in children
from 3 to 18 years of age

Laparoscopy is a minimally invasive surgical method that involves performing operations using special instruments and a video camera inserted

through small incisions in the skin.

In recent decades, laparoscopic techniques have found wide application not only in adults, but also in pediatric surgery.

This article is devoted to the features of laparoscopic surgery in children aged 3 to 18 years,

their advantages, indications and potential risks.

Advantages of laparoscopic surgery


1. Minimal invasiveness: Laparoscopic surgeries require smaller incisions compared to traditional open procedures. This reduces the traumatic nature of the intervention and promotes faster recovery.

2. Less pain and discomfort: After laparoscopy, children usually experience less pain, which reduces hospital stay time and facilitates the recovery process.

3. Speedy recovery: Minimal intervention leads to a shorter rehabilitation period, which is especially important for children who can recover quickly and return to their normal activities.

4. Lower risk of infectious complications: Because the incisions are smaller, the chance of infections is also reduced.


Indications for laparoscopic surgery


Laparoscopic surgery in children can be indicated for various conditions:

1. Surgical pathologies of abdominal organs:
Appendectomy (removal of the appendix)
- Operations for cholelithiasis
- Treatment of intestinal obstruction

2. General and gynecological conditions:
- Operations for hernias (inguinal, umbilical)
- Removal of ovarian tumors or cysts
- Endometriosis in adolescent girls

3. Injuries and their consequences:
Laparoscopy can be used to treat some internal injuries.


Operating procedure


Laparoscopic operations in children are usually performed under general anesthesia. The procedure includes the following steps::

1. Patient preparation: Before the operation, the child undergoes a medical examination, including tests and consultations with an anesthesiologist.

2. Access creation: Small incisions (usually 0.5–1 cm) are made in the abdominal area. A laparoscope and special surgical instruments are inserted through these incisions.

3. Performing the operation: Using the video image from the camera, the surgeon performs the necessary manipulations, such as organ removal or pathology correction.

4. Incision closure: At the end of the operation, the incisions are closed with stitches or special stickers.


Possible risks and complications


Like any surgical procedure, laparoscopy can carry some risks:
- Bleeding
- Infections
- Damage to surrounding organs
- Reaction to anesthesia

It is important that parents are aware of the potential risks and discuss them with the surgeon before surgery.


Conclusion

Laparoscopic surgery is a modern approach in pediatric surgery that offers significant advantages related to minimal invasiveness and short recovery time. Properly performed laparoscopic interventions can significantly improve the quality of life of children suffering from various diseases. It is important that every decision is made taking into account the individual characteristics of the child and after consultation with experienced specialists.
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