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Related Experiment Video

Updated: May 19, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

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Laparoscopic paediatric surgery: a potential for paradigm shift in developing countries.

M A Misauno1, E O Ojo, A F Uba

  • 1Department of Surgery, Jos University Teaching Hospital Jos, Plateau State, Nigeria.

African Journal of Paediatric Surgery : AJPS
|August 11, 2012
PubMed
Summary
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Laparoscopic surgery in children is a safe and effective alternative to open surgery in developing countries. This study documented positive outcomes, advocating for wider adoption of minimally invasive techniques in pediatric surgical care.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Global Health

Background:

  • Traditional open surgery was the standard for pediatric surgical conditions.
  • Laparoscopic surgical techniques are increasingly adopted globally.
  • Limited data exists on laparoscopic pediatric surgery in developing nations.

Purpose of the Study:

  • To document the experience with laparoscopic pediatric surgical procedures.
  • To evaluate the feasibility and outcomes of these techniques in a developing country context.

Main Methods:

  • Prospective analysis of consecutive pediatric patients undergoing laparoscopic surgery.
  • Data collected across five hospitals in Northern Nigeria from June 2008 to February 2011.

Main Results:

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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

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  • Twenty-one pediatric patients (mean age 12.5 years) underwent laparoscopic procedures.
  • Common procedures included appendectomies (61.9%) and cholecystectomies (33.3%).
  • Low conversion rate (9.5%) and no mortality were observed, with a mean hospital stay of 2 days.

Conclusions:

  • Laparoscopic surgery offers significant advantages over open surgery for pediatric conditions.
  • Encourages a paradigm shift towards adopting minimally invasive techniques in pediatric surgical management.
  • Recommends wider implementation of laparoscopic surgery in developing countries.