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Related Experiment Videos

A view from down under: laparoscopic look at a subrectus pacemaker.

Michael R Epstein1, Thomas H Inge

  • 1Divisions of Cardiology and Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA. mepstein@chmcc.org

Pacing and Clinical Electrophysiology : PACE
|December 24, 2002
PubMed
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This case study details a minimally invasive gastrostomy tube insertion in an infant with congenital anomalies and a pacemaker. It highlights a unique surgical view of the implanted pulse generator within the abdominal cavity.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Medical Device Implantation

Background:

  • Infants with multiple congenital anomalies often require complex surgical interventions.
  • Complete heart block in infants necessitates pacemaker implantation, typically with epicardial leads.
  • Congenital heart defect repair can lead to complications requiring further management.

Observation:

  • Laparoscopic gastrostomy tube insertion was performed in an infant with multiple congenital anomalies.
  • The infant had a history of congenital heart defects repaired, resulting in complete heart block.
  • An epicardial pacemaker was implanted due to complete heart block.

Findings:

  • The surgical procedure provided a unique intra-abdominal view of the subrectus pulse generator.

Related Experiment Videos

  • Minimally invasive techniques were utilized for gastrostomy tube placement.
  • Successful management of complex pediatric conditions involving cardiac and gastrointestinal systems.

    • Implications:

    • Demonstrates the feasibility of laparoscopic gastrostomy in complex pediatric cases.
    • Highlights the importance of visualizing implanted devices during abdominal surgery.
    • Informs surgical planning for patients with co-existing congenital anomalies and implanted cardiac devices.