Related Experiment Video
Updated: Apr 5, 2026
Single Port Donor Nephrectomy
Published on: March 12, 2011
Single Incision Pediatric Endoscopic Surgery: Advantages of a Relatively Large Incision
Engin Yilmaz1, Cagatay Evrim Afsarlar1, Ahmet Erturk2
1Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
Insights
Single Incision Pediatric Endoscopic Surgery (SIPES) offers cosmetic benefits and easier CO2 gas management in children. This minimally invasive approach results in high patient satisfaction and avoids postoperative pain.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Single Incision Pediatric Endoscopic Surgery (SIPES) is an evolving minimally invasive technique.
- Evaluating the efficacy and advantages of SIPES in a pediatric population is crucial for advancing surgical practices.
Observation:
- This observational case series reviewed 45 pediatric patients undergoing SIPES for various diagnoses.
- Procedures included appendectomies, varicocelectomies, and cyst excisions, primarily utilizing a single 2 cm umbilical incision.
Findings:
- SIPES facilitated easy abdominal irrigation and extraction of large specimens.
- Complete CO2 disinflation prevented postoperative shoulder/back pain.
- All patients reported satisfaction with the cosmetic outcome.
Implications:
- SIPES offers significant cosmetic advantages by concealing scars within the umbilicus.
- The technique allows for efficient intra-abdominal procedures and specimen retrieval.
- SIPES presents a favorable option for pediatric surgical interventions, enhancing patient comfort and aesthetic results.
Objective:
To describe Single Incision Pediatric Endoscopic Surgery (SIPES) performed on children with various diagnoses, emphasizing its advantages.
Study Design:
An observational case series.
Place And Duration Of Study:
Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Child Health Hospital, Ankara, Turkey, from January 2011 to November 2014.
Methodology:
A review of patient charts was conducted in which SIPES was preferred as the surgical procedure. Patient demographics, operative details, operative time, clinical outcomes, postoperative pain and cosmesis were analyzed.
Results:
SIPES was performed on 45 patients (21 girls, 24 boys). Thirty-three appendectomies, 5 varicocelectomies, 3 oophorectomies, 2 ovarian and one paratubal cyst excision, and one fallopian tube excision were performed. All except one procedures were performed through our standard 2 cm umbilical vertical or smile incision. In 18 cases, abdominal irrigation/aspiration was easily performed through the existing larger incision, as is done with open surgical technique. None of the patients had early postoperative shoulder/back pain since complete disinflation of CO2could be ensured. All of the patients/parents were satisfied with the cosmesis.
Conclusion:
SIPES has the advantages of limiting the surgical scar to within the umbilicus and providing easy disinflation of CO2, allowing intraabdominal cleaning and extraction of large volume tissue samples through a single large umbilical incision.
Related Concept Videos
01:26Endoscopic Procedures V: ERCP
Patient...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...