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Experience with the Bailez technique for laparoscopic access in children
Julie Franc-Guimond1, John Kryger, Ricardo González
1Division of Pediatric Urology, Thomas Jefferson University, Alfred I. Dupont Hospital for Children, 1600 Rockland Road, PO Box 269, Wilmington, DE 19899, USA.
The Journal of Urology
|August 13, 2003
Summary
This study presents a modified Hasson technique for safe and easy laparoscopic access in pediatric patients. The technique ensures rapid entry into the peritoneal cavity, even in obese children, with excellent cosmetic outcomes.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Laparoscopic surgery is increasingly utilized in pediatric procedures.
- Safe and efficient peritoneal access is crucial for successful laparoscopy.
- The Hasson technique is a common method for initial trocar insertion.
Purpose of the Study:
- To describe a modified Hasson technique for laparoscopic access in children.
- To evaluate the safety, efficacy, and cosmetic results of this modified technique.
Main Methods:
- Retrospective review of 77 laparoscopic procedures in children (September 1999 - May 2002).
- Description of the modified Hasson technique involving a semicircumferential umbilical incision and direct visualization for peritoneal entry.
- Use of a blunt trocar for peritoneal insertion.
Main Results:
- Successful laparoscopic access was achieved in all 77 pediatric patients.
- Procedures included diagnostic laparoscopy for undescended testis, varicocelectomy, nephrectomy, and nephroureterectomy.
- Mean follow-up was 15.9 months with no reported complications related to access.
Conclusions:
- The modified Hasson technique provides easy, safe, and rapid peritoneal access in pediatric laparoscopy.
- This method is particularly advantageous in obese children.
- The technique yields good cosmetic results, minimizing visible scarring.