Minimal Access surgery
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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The insufflation setting is based on the patient’s age and surgeon’s preference. An intraperitoneal pressure of 15 mmHg is usually tolerated by most healthy pediatric patients who weigh more than 5 kg. Intraperitoneal pressures of more than 20 mmHg can lead to decreased venous return and ventilator issues. If the patient is less than 5 kg, an intraperitoneal pressure of 8–12 mmHg is used."
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“The Hungarian J. Veress developed the spring-loaded needle for performance of therapeutic pneumothorax to treat pulmonary tuberculosis in 1938; he then applied this technique to cases of pneumoperitoneum” — Endoscopic Surgery in Infants and Children by Klaas N.M.A. Bax, K.E. Georgeson, et al.
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Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "For routine lung biopsies or lung resections, the patient is placed in a standard lateral decubitus position, which provides for excellent visualization and access to all surfaces of the lung. This position is also the most beneficial set-up for decortications, pleurodesis, and other procedures in which the surgeon may need access to the entire pleural or lung surface. For anterior mediastinal surgery such as thymectomy, aortopexy, or biopsy, or for resection of anterior tumors or lymph nodes, a three-quarters posterolateral decubitus position should be chosen (Fig. 11.3). For p…
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