Postnatal Minimal Access Surgery for Birth Defects

Abstract

Historically, minimal access procedures in pediatric surgery have been slower to evolve than its adult counterpart. A better understanding and appreciation for surgical pain and perioperative morbidity in children have provided the nidus for innovation in minimal access techniques and equipment. Advances in pediatric instrumentation have allowed surgeons a broader application of minimal access surgery. Within the last 10 years, the rapid evolution of laparoscopic and thoracoscopic techniques within pediatric surgery has provided a significant benefit to children. Today, many open procedures, which caused considerable morbidity, have been successfully performed using minimally access techniques. With significant improvements in technique and instrumentation, minimal access surgery has become an integral aspect of pediatric surgery.