Umbilical approach using the sliding-window method to avoid a large abdominal incision: report of two pediatric cases
1Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical School, 1981 Kamoda, Tsujido, Kawagoe, Saitama, 350-8550, Japan. 07aoda@saitama-med.ac.jp
Insights
The sliding-window technique, a minimally invasive surgery method, has been successfully adapted for pediatric patients. This approach through umbilical incisions offers a practical alternative to larger abdominal cuts in children.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Techniques
- Surgical Innovation
Background:
- The sliding-window method, a minimally invasive surgical technique, was initially established for adult abdominal procedures.
- Its application and efficacy in pediatric surgery remained largely unexplored.
- Minimally invasive abdominal surgery in children often aims to reduce incision size and improve cosmetic outcomes.
Observation:
- This study details the application of the sliding-window method in two pediatric patients under 12 years old.
- Procedures were performed via minilaparotomy using umbilical incisions.
- Indications included a large omental cyst in one patient and splenomegaly with cholelithiasis in the other.
Findings:
- Both pediatric patients experienced uneventful postoperative recovery following the sliding-window procedure.
- The method yielded acceptable cosmetic results, minimizing visible scarring.
- The sliding-window technique proved effective for addressing complex abdominal conditions in young patients.
Implications:
- The umbilical approach utilizing the sliding-window method is a viable and practical surgical option for pediatric patients.
- It effectively avoids the need for extensive abdominal incisions in children undergoing major abdominal surgery.
- This technique holds potential for wider adoption in pediatric minimally invasive surgery, enhancing patient recovery and aesthetics.
Abstract:
The sliding-window method of minimally invasive abdominal surgery was introduced in adults. Here, we describe its use in children. Two girls below age 12 underwent minilaparotomy by this method through umbilical incisions. Conditions requiring the operations were a large omental cyst in one patient and splenomegaly and cholelithiasis in the other. Postoperative courses were uneventful, and cosmetic results were acceptable. An umbilical approach using the sliding-window method is a practical way to avoid large abdominal incisions in pediatric patients undergoing major abdominal surgery.