Editors Sanjay Oak MS MCh MNAMS DNBE FACS FICS FAIS DHRM DHA LLB(Gen) PGDMLS
Professor and Head
Sandesh V Parelkar MS MCh
Associate Professor
Prakash Agarwal MS MCh DNBE (Pediatric Surgery)
Lecturer
Department of Pediatric Surgery
TN Medical College and BYL Nair Hospital
Mumbai
Foreword by Prof Thom E Lobe
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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A Color Atlas of Minimal Access Surgery in Children
© 2005, Sanjay Oak, Sandesh V Parelkar, Prakash Agarwal
All rights reserved. No part of this publication and interactive CD ROM should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 2005
9788180614545
Typeset at JPBMP typesetting unit
dedicated
to
our tiny, little patients who taught us-
to do the right thing, at the right time, in the right way;
to do some things better than they were ever done before;
to eliminate errors;
to know both the sides of the problem;
to be dexterous;
to be an example;
to work for the love of work;
to anticipate requirements;
to develop resources;
to recognize no impediments;
to master circumstances;
to act from reason rather than rule;
to be satisfied with nothing short of perfection and excellence.
5List of Contributors
- Agarwal Prakash
- Lecturer, Department of Pediatric Surgery
- TN Medical College and BYL Nair Hospital
- Mumbai
- Bhanushali HS
- Hon Prof of Surgery, Consultant Surgeon
- Kaushalya Hospital, Thane
- Borkar Jyoti
- Professor of Anaesthesia
- TN Medical College and BYL Nair Hospital
- Mumbai
- Cohen Ralph
- Clinical Associate Professor of Pediatric
- Surgery and Urology, Department of Surgery
- The Children's Hospital at Westmead
- Locked Bag 4001
- Westmead NSW 2145, Sydney
- Australia
- De Laguise Pascal
- Hospital Robert Debre, 48, Bd. Serurier, 75029
- Paris, Cedex 19, France
- Dorairajan T
- Consultant Pediatric Surgeon, Chennai
- Gera Parshotam
- Resident, Department of Pediatric Surgery
- TN Medical College and BYL Nair Hospital
- Mumbai
- Guvenc Haluk
- Associate Professor and Head
- Department of Pediatric Surgery
- Kocaeli University Medical School, Kocaeli
- Turkey
- Holcomb George W (III)
- Surgeon in Chief and Katharine Berry Richardson
- Professor of Pediatric Surgery
- Children Mercy Hospital and Clinics
- 2401 Gillham Road, Kansas City
- Missouri 64108, USA
- Iyer Hemalata
- Professor, Department of Anesthesia
- TN Medical College and BYL Nair Hospital
- Mumbai
- Koyle Martin
- Professor, Pediatric Surgery
- The Children's Hospital, 1056 E
- 19th Street, Denver Colorado, 80218
- USA
- Lobe Thom E
- Chairman, Section of Pediatric Surgery
- Professor of Surgery and Pediatrics
- The University of Tennessee, Memphis
- USA
- Oak Sanjay
- Professor and Head, Department of Pediatric Surgery
- TN Medical College and BYL Nair Hospital
- Mumbai
- Parelkar Sandesh V
- Associate Professor, Department of Pediatric Surgery
- TN Medical College and BYL Nair Hospital
- Mumbai
- Parikh Ketan
- Consultant Pediatric Surgeon
- Tara Neosurgical Hospital, Jaslok Hospital
- Mumbai
- Pathak Rahul
- Resident in Pediatric Surgery
- TN Medical College and BYL Nair Hospital
- Mumbai
- Ramadwar Ravi
- Consultant Pediatric Surgeon
- Bombay Hospital, Mumbai
- Ramesh S
- Hon Pediatric Surgeon
- Department of Pediatric Surgery
- Indira Gandhi Institute of Child Health
- Bangalore
- Sailukar Manjusha
- Resident, Dept of Pediatric Surgery
- TN Medical College and BYL Nair Hospital
- Mumbai
- Satomi Akira
- Professor, Department of Pediatric Surgery
- Saitama Medical School
- Maroyama-Machi, Irumagon, Saitama, Japan
- Schier Felix
- Professor of Child Surgery
- University of Mainz
- Germany
- Selvarajan K
- Consultant Pediatric Surgeon
- KG Hospital, Coimbatore
- Shah Anirudh
- Professor and HOD
- Sheth VS General Hospital, Ahmedabad
- Shah Rasik
- Consultant Pediatric Surgeon, Sir HN Hospital
- PD Hinduja Hospital, Mahim
- Srimurthy KR
- Hon Pediatric Surgeon and Head
- Department of Pediatric Surgery
- Indira Gandhi Institute of Child Health
- Bangalore
- Valla Jean-Stephane
- Professor De Chirugie Pediatrique
- Foundation Lenval, Hospital pour Infanys
- 67,av,De La Californie-Nice
- France
- Viswanath Naveen
- Resident in Pediatric Surgery
- TN Medical College and BYL Nair Hospital
- Mumbai
It is an honor to be asked to write an introduction to such an important project as this is. And, I do it with great pleasure, as there are few things dearer to me than to further worldwide knowledge and interest in pediatric endosurgery.
The concept, a pictorial representation of many of our simple and more advanced pediatric endoscopic surgical cases provides the viewer with a rare glimpse into our world, as shown by many experts from around the globe. With this project the novice and experienced pediatric surgeon, alike, can enhance their exposure to cases performed by experts in the field.
This project has been carried out with a vision toward the bright future of endoscopic surgery in children. It wasn't so very long ago that we, those of us who saw the many benefits of laparoscopy and thoracoscopy in children were ridiculed and labeled dabblers and gadgeteers. Now, laparoscopic and thoracoscopic procedures in children are commonplace and performed worldwide. For those of us who saw the many benefits of performing endoscopic surgery in children, including: Less pain, a better postoperative appearance and quicker return to unrestricted activities, we are gratified to see that we were onto a good thing.
I know that you will enjoy this work, and will be able to use the contents herein to continue to benefit children around the world.
Prof Thom E Lobe md
Memphis, TN
USA
8From the Editors' Desk
It is indeed a matter of pride for us to come out with this new title “A Color Atlas of Minimal Access Surgery in Children” in the latter half of 2004. Needless to say that this is following on the footprints of our earlier Atlas released in January, 2003 by Jaypee Brothers Medical Publishers (P) Ltd. Acquisition of a xenon light source, better quality wide angle telescopes and miniaturizing hand instruments to 2 mm made us possible to come out with this new title. Not only did our indications increase, but also our age at surgery decreased. We became more familiar with pediatric thoracoscopic procedures and innovative ideas for lung biopsies came to our mind. In a country where suppurative lung diseases are widely prevalent, primary VATS should be the preferred modality of management of empyema and we have amply stressed this aspect in this book. We also employed MAS techniques to newborns and feel at present that a thoracoscopic approach works better in congenital diaphragmatic hernia in the neonatal age group. Needless to say that our anesthesia colleagues also updated their monitoring equipments and refined their skills to keep pace with the surgical advances.
I thank enormously my colleagues from various countries - Thom E Lobe (USA), Felix Schier (Germany), Pascal de Laguise (France), Martin Koyle (USA), Akira Satomi (Japan), Jean-Stephane Valla (France), Haluk Guvenc (Turkey), George W Holcomb III (USA) and Ralph Cohen (Australia) who not only sent beautiful images, but also magnanimously permitted us to put them into this publication. A special thanks to my postgraduate student Dr Naveen Viswanath, who did a splendid job of putting the pictures together. The work could not have been completed without the unflinching support and stimulus from Shri Jitendar P Vij, Chairman and Managing Director, Jaypee Brothers Medical Publishers (P) Ltd.
Fellow colleagues, this is certainly not the last word in Pediatric Laparoscopic Surgery. This is just the beginning, Minimal Access Surgery in Children has come to stay. It is upto us to accept, assimilate and adapt to its challenges. “A battalion of army can be resisted, but not an idea whose time has come”.
Sanjay Oak
Sandesh V Parelkar
Prakash Agarwal