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CURRENT
ACTIVITIES:
The department has recently successfully performed a laparoscopic partial splenectomy in a 10 year girl with a benign splenic cyst. clinically a mobile lump in the LHC 10x8cm was palpable. USG and CT were suggestive of a splenic cyst with peripheral calcification arising from the lower pole. laparoscopy was done under GA in supine position with 4 ports. the lower polar vessels were clipped and a good line of demarcation had formed. we then used the harmonic scalpel to divide the spleen along the line of demarcation and removed the specimen thru a small pfannensteil incision. the hp came as epidermoid cyst. patient had an uneventful recovery.
The department has successfully performed thoracoscopic repairs of congenital diaphragmatic hernia and eventration of diaphragm in 5 children. the youngest child was 15 days old and the oldest 1.5 years.
"SIMPL" Nephrectomy
We
have recently done a retroperitoneoscopic nephrectomy for a non-functioning kidney
secondary to pelvi-ureteric obstruction in a six-year-old boy. It was done with
the patient in the prone position with only 2 ports - one for the camera and the
other for the instrument port. This is a relatively new technique, SIMPL stands
for Single Instrument Port Laparoscopy. thus the entire procedure is done through
only one working port and there are only 2 small incisions on the back.
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