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Pediatric Surgery Video Library

The Pediatric General Surgery Department at Johns Hopkins All Children's hospital maintains a video library of numerous operative procedures that are performed.  Some are quite routine, while others are highly specialized and unique. 

Laparoscopic Surgery

Laparoscopic Cholecystectomy

Many children and teenagers develop gallstones and need to have their gallbladders removed.  Minimally invasive surgery allows the gallbladder to be removed through 4 small incisions.
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Laparoscopic Enteric Cyst Excision

In this surgery, minimally invasive techniques were used to excise a cystic duplication of the intestine (a congenital abnormality of the intestine) in a pediatric patient.
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Laparoscopic Fundoplication

Some pediatric patients suffer from gastroesophageal reflux disease (GERD) which is a severe form of "heartburn" that can be life-threatening in some children.  Using minimally invasive techniques, surgeons are able to wrap the stomach around the esophagus to help prevent the reflux from occurring.
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Laparoscopic Pediatric Inguinal Hernia Repair: Eversion Technique

There are many different approaches to the common problem of inguinal hernia in the pediatric age group.  The "Eversion Technique", shown in this video, is one of the minimally invasive methods of repair.
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Laparoscopic Pediatric Inguinal Hernia Repair: Intracorporeal Suturing Technique

Another minimally invasive methods of repairing inguinal hernia, called the "intracorporeal suturing technique," involves sewing the hernia closed from the inside of the abdomen using 2-mm instruments and a tiny camera.
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Laparoscopic Interval Appendectomy

An appendectomy used to be a large and complex operation, but minimally invasive surgery now allows the appendix to be removed in pediatric patients through three small incisions.  This video shows an appendectomy in a patient who had presented with perforated appendicitis, was treated with antibiotics for a few weeks, and then operated on laparoscopically.
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Laparoscopic Neonatal Ovarian Cyst Excision and Marsupialization

Advances in minimally invasive surgery have led to instruments that are only 2 mm in diameter, which allows laparoscopic operations on patients even as small as infants.  In this case, a newborn baby with feeding difficulties was found to have a large ovarian cyst, which was removed with latraroscopic surgery.
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Laparoscopic pyloromyotomy

In small babies, a thickening of the pylorus muscle can prevent food from leaving the stomach and cause vomiting.  Minimally invasive techniques and very small instruments allow us to open the pylorus enough for babies to enjoy eating again.
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Laparoscopic pyloromyotomy (Alternative Knife)

The Smith and Nephew Acufex meniscectomy knife is used to create the pyloromyotomy.  An 8F red rubber catheter is used to create a sheathed blade and can be placed at the desired length based on the pyloric thickness.
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Laparoscopic Pediatric Spleen Surgery:  Partial Excision of a Splenic Cyst

Splenic cysts can be of many types (for example: simple cysts, post trauma, post infection).  Where a splenic cyst excision would have been a major operation in the past, minimally invasive techniques now allow many of these cysts to be addressed through 3 or 4 small incisions using the laparoscope.
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Laparoscopic Splenopexy for a Wandering Spleen

Wandering spleen is a rare pediatric condition, but if untreated the complications can be devastating.  A new laparoscopic surgical technique has been developed to anchor the spleen in a retroperitoneal pocket thereby avoiding an open incision as well as any prosthetic patches, as has been used in the past.
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Minimally Invasive Pectus Excavatum Repair

Pectus excavatum, a condition that affects many children both physiologically and psychologically, can now be corrected by a technique that involves insertion of a bar to splint the chest in a more appropriate position.
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Single-Incision Surgery

Single Port Laparoscopic Repair of a Diaphragmatic Hernia

A Diaphramatic Hernia is a congenital defect in the diaphragm which allows the abdominal organs to herniate into the chest.  In this video, one of these hernias is repaired in a child using a single laparoscopic port in the belly button.  This represents the very latest in minimally invasive surgical technology.
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Single Incision Laparoscopic Cholecystectomy

Using cutting edge technology, we can now remove the gallbladder through a single incision in the belly button.  This results in a scar that is virtually invisible.
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Thoracoscopic Surgery  

Thoracoscopic Excision of an Esophageal Duplication

Some children are born with or develop cystic lesion in the mediastinum (or central portion of the chest cavity). This video shows the removal of one such lesion a video scope and three small incisions on the chest wall. The lesion turned out to be an esophageal duplication cyst.
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Thoracoscopic Diaphragmatic Hernia Repair

Some babies are born with a hole in the diaphragm which allows contents of the abdomen to move up into the chest.  In the past, these babies need to have a large incision in the abdomen or chest to allow the surgeon to repair the hole in the diaphragm.  Using minimally invasive techniques, the surgeons at Johns Hopkins All Children's Hospital can in many cases perform the entire repair through incisions only 3 to 5 mm in size.
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Thoracoscopic Sympathectomy for Hyperhidrosis

In the condition called hyperhidrosis, patients suffer debilitating palm and/or feet sweating.  Using minimally invasive techniques, this condition can be treated with sympathectomy.
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Thoracoscopic Lung Resection

A portion of the lung may need to be resected for many reasons.  Minimally invasive techniques allow us to perform the surgery with 3 small incisions.  In this case a teenager was found to have a 2cm nodule on the lung. 
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Thoracoscopic Treatment of Pneumothorax

Some children suffer spontaneous pneumothorax (collapse of the lung).   This is often due to a bleb (bubble) on the surface of the lung which pops and leaks air.  Using thoracoscopy, this diseased area of the lung can be removed and steps can be taken (pleurectomy and pleurodesis) to minimize the chance of a dangerous tension pneumothorax from developing in the future.
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Appointments and More Information

For more information, visit Pediatric General Surgery. To make an appointment or to ask questions, please call 727-767-4170.