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Titlebook: Laparoscopy in Children; Felix Schier Book 20031st edition Springer-Verlag Berlin Heidelberg 2003 Chirurgie.Kinderchirurgie.Laparascopic s

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Introduction,Laparoscopy in children is a special technique. Children come in all sizes, and the fact that children are small is an important technical aspect. In addition, there are characteristic pediatric indications for laparoscopy. The most typical ones are described here.
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The Trolley,Standard equipment is used: monitor, video equipment, insufflator, light source etc.
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Anesthesia,Premedicate the patient with a parasympatholytic (this reduces the likelihood of bradycardia and bronchial hypersecretion).
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Insufflation (1),Make a 4-mm transverse incision below the lower rim of the umbilicus so that the incision is later hidden inside the umbilicus. This also saves a skin suture later when withdrawing the trocar. Spread the tissue with small scissors down to the fascia.
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Needle Insertion,Insert the needle though 5-mm trocars or, if you are using 2-mm trocars, directly through the abdominal wall. Finish suturing and eventually remove the sutures together with a trocar. Needles for 5–0 or 6–0 sutures may be removed through 2-mm trocars.
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