Our Summary

This paper discusses how the field of minimally invasive surgery (MIS), which involves making smaller cuts during operations, is growing and becoming more important in children’s kidney and bladder health (pediatric urology). The article suggests that while these techniques are already commonly used in pediatric urology, there are many more changes to come. This includes new developments in laparoscopic surgery (which uses a thin tube with a camera to see and operate inside the body) and robotic surgery (where surgeons control robotic arms to perform the operation).

FAQs

  1. What is the role of minimally invasive surgery in pediatric urology?
  2. What recent and upcoming advances in laparoscopic and robotic surgery are anticipated to affect pediatric urology?
  3. How is new technology being implemented in minimally invasive surgery within pediatric urology?

Doctor’s Tip

One helpful tip a doctor might tell a patient about minimally invasive surgery is to follow all pre-operative instructions carefully, such as fasting before surgery and taking any prescribed medications as directed. This can help ensure a successful procedure and smooth recovery. Additionally, patients should communicate openly with their healthcare team about any concerns or questions they may have before undergoing minimally invasive surgery.

Suitable For

Patients who are typically recommended for minimally invasive surgery include those with conditions such as kidney stones, urinary incontinence, pelvic organ prolapse, hernias, and certain types of cancer (such as prostate or bladder cancer). Minimally invasive surgery is often recommended for patients who are looking for faster recovery times, smaller incisions, less pain, and reduced risk of complications compared to traditional open surgery. Additionally, pediatric patients may also benefit from minimally invasive surgery, as it can reduce the risk of scarring and lead to quicker recovery times.

Timeline

Before minimally invasive surgery:

  1. Consultation with a surgeon to discuss the procedure and determine if the patient is a candidate for minimally invasive surgery.
  2. Pre-operative testing and preparation for surgery, which may include blood work, imaging studies, and medication adjustments.
  3. Consent forms and paperwork completed prior to the surgery date.

During minimally invasive surgery:

  1. Anesthesia is administered, and the patient is prepped for surgery.
  2. Small incisions are made to insert a laparoscope or robotic instruments into the body.
  3. The surgeon performs the procedure using the instruments and a camera to guide their movements.
  4. The incisions are closed with sutures or surgical tape.

After minimally invasive surgery:

  1. The patient is monitored in the recovery room until they are awake and stable.
  2. Pain management is provided as needed, and the patient may be given instructions for post-operative care.
  3. Follow-up appointments are scheduled to monitor the patient’s recovery and address any concerns or complications.
  4. The patient gradually resumes normal activities and may undergo physical therapy or rehabilitation as needed.

What to Ask Your Doctor

  1. What are the potential benefits of minimally invasive surgery compared to traditional open surgery for my specific condition?
  2. What are the potential risks and complications associated with minimally invasive surgery?
  3. How experienced are you and your team in performing minimally invasive surgery for pediatric urological conditions?
  4. What is the success rate of minimally invasive surgery for my condition?
  5. How long is the recovery time after minimally invasive surgery compared to traditional open surgery?
  6. Will I have any limitations or restrictions after the surgery?
  7. How soon can I resume normal activities after minimally invasive surgery?
  8. Will I need any additional treatments or follow-up appointments after the surgery?
  9. Are there any specific factors that could affect my eligibility for minimally invasive surgery?
  10. Can you provide me with any resources or additional information about minimally invasive surgery for pediatric urological conditions?

Reference

Authors: Sheth KR, Van Batavia JP, Bowen DK, Koh CJ, Srinivasan AK. Journal: Urol Clin North Am. 2018 Nov;45(4):611-621. doi: 10.1016/j.ucl.2018.06.008. Epub 2018 Sep 7. PMID: 30316315