Our Summary

This research paper talks about a specific type of surgery called laparoendoscopic single-site surgery (LESS), which has been increasingly used in pediatric urology. Various surgeons have shared their experiences and results using this technique for different types of procedures, such as removing a kidney, fixing a blocked kidney, moving an undescended testicle, fixing a varicocele (an enlargement of the veins in the scrotum), and removing a kidney cyst.

The researchers in this study are sharing their own experiences with this type of surgery. They mostly use it for surgeries that involve removal rather than reconstruction. They have found that LESS is a safe option that has similar results to more traditional types of surgery, with the added benefit of better cosmetic results (i.e., smaller or less noticeable scars).

FAQs

  1. What is laparoendoscopic single-site surgery (LESS) and how is it used in pediatric urology?
  2. What types of procedures can be performed using the LESS technique?
  3. How do the results of LESS compare to traditional types of surgery, especially in terms of safety and cosmetic outcomes?

Doctor’s Tip

One helpful tip that a doctor might tell a patient about laparoscopic surgery is to follow their post-operative care instructions carefully. This may include guidelines on pain management, wound care, activity restrictions, and follow-up appointments. It is important to adhere to these instructions to ensure a smooth recovery and minimize the risk of complications. Additionally, patients should communicate any concerns or unusual symptoms to their healthcare provider promptly.

Suitable For

Patients who are typically recommended for laparoscopic surgery include those who require surgeries such as cholecystectomy (gallbladder removal), appendectomy, hernia repair, bariatric surgeries, and gynecological procedures like hysterectomy or ovarian cyst removal. Additionally, patients with conditions such as endometriosis, fibroids, gastrointestinal issues, and certain types of cancer may also benefit from laparoscopic surgery.

Laparoscopic surgery is often recommended for patients who are looking for a less invasive option with shorter recovery times, less pain, and reduced risk of complications compared to traditional open surgery. Patients who are generally healthy and do not have any contraindications to laparoscopic surgery are good candidates for this procedure. However, each patient’s individual medical history and condition will ultimately determine if laparoscopic surgery is the best option for them.

Timeline

Before laparoscopic surgery:

  • Patient meets with their surgeon to discuss the procedure and review medical history
  • Pre-operative testing such as blood work, imaging studies, and possibly a physical exam
  • Patient may be instructed to stop certain medications or adjust their diet before surgery
  • Patient receives instructions on how to prepare for surgery, including fasting before the procedure
  • Patient arrives at the hospital or surgical center on the day of surgery and undergoes pre-operative preparation, including anesthesia

During laparoscopic surgery:

  • Surgeon makes small incisions in the abdomen and inserts a laparoscope (a thin tube with a camera) to view the internal organs
  • Surgical instruments are inserted through additional small incisions to perform the procedure
  • Surgery is performed with the guidance of a monitor displaying the images from the laparoscope
  • Procedure is completed, and incisions are closed with sutures or surgical glue
  • Patient is taken to the recovery room for monitoring and pain management

After laparoscopic surgery:

  • Patient is monitored for any immediate post-operative complications
  • Patient may experience some pain, discomfort, and bloating in the days following surgery
  • Patient is discharged from the hospital once stable and able to tolerate food and drink
  • Patient is given instructions for post-operative care, including wound care, activity restrictions, and medications
  • Follow-up appointments are scheduled to monitor recovery and address any concerns or complications

Overall, laparoscopic surgery offers patients a minimally invasive option with shorter recovery times, less pain, and better cosmetic outcomes compared to traditional open surgery. With proper pre-operative preparation and post-operative care, patients can expect a successful and smooth recovery from laparoscopic surgery.

What to Ask Your Doctor

  1. What specific procedure will be performed using laparoscopic surgery?
  2. How experienced is the surgeon in performing laparoscopic surgery?
  3. What are the potential risks and complications associated with laparoscopic surgery?
  4. How long is the recovery time after laparoscopic surgery compared to traditional surgery?
  5. Will there be any restrictions on activities or diet following laparoscopic surgery?
  6. How long will I need to stay in the hospital after the surgery?
  7. What are the expected outcomes of the surgery and how will they be monitored?
  8. Are there any alternative treatment options to consider?
  9. Will there be any scarring or long-term effects from the laparoscopic surgery?
  10. What is the success rate of laparoscopic surgery for the specific procedure being performed?

Reference

Authors: Soto-Aviles OE, Escudero-Chu K, Perez-Brayfield MR. Journal: Curr Urol Rep. 2015 Oct;16(10):68. doi: 10.1007/s11934-015-0542-6. PMID: 26255067