Clinical Pediatrics and Pediatric Surgery

Summary : OTS includes all surgical procedures Endo assisted extra or intra corporeal, made by a single entry (single entry) 10mm and operational perspective, abdominal, thoracic and retro peritoneal. Before 60 years, the surgery based on the philosophy expressed by the expression "Great cut, Great sucker" Today, the maximum of physical integration is maintained and the violation of the bodies of patients is minimized. "Small cut, great sucker"

 

Introduction: OTS has wide application in pediatric surgery for diagnostic and therapeutic purposes due to the small size of the anatomical substances and susceptibility to traditional surgical trauma, it is certainly

 

Diagnostic :

• Diagnosis of recurrent abdominal pain

• OTS is indicated in any patient with recurrent abdominal pain with negative para-clinical (biology, radiology, psychological) examinations.

• Diagnosis of acute abdomen: as in the case of investigations with conservative TRT failure, annexation

• Diagnosis of non-palpable testis

• Intestinal and gonadal biopsy

• Exploration of the abdominal cavity

• Therapeutic role

 

Material and Methods: From November 2011-Nov 2012,126 patients underwent surgery and appendectomy (Acute appendicitis, peritonitis, abscess using the TULLA technique Preparing the child (video): Child placed in position on surgical table, AG, Orotracheal intubation, peripheral venous tract, urinary sande, nasogastric sande. The operator to the left of the patient, assistant opposite side, monitor behind, instrumentalist to the left of the operator.

 

Note: Remaining will be discussed in Conference.