Experience with the Bailez technique for laparoscopic access in children. J Urol 2003 Sep;170(3):936-8
Date
08/13/2003Pubmed ID
12913745DOI
10.1097/01.ju.0000081639.66752.e4Scopus ID
2-s2.0-0041736449 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
PURPOSE: We describe a variation of the Hasson technique for laparoscopic access.
MATERIALS AND METHODS: All laparoscopic procedures performed in children and completed between September 1999 and May 2002 at 2 institutions were reviewed retrospectively. All access to the peritoneal cavity was accomplished in the same manner using the following approach-a small semicircumferential incision was made in the inferior part of the umbilicus, and the umbilical skin was dissected to expose the area of the umbilical scar where the peritoneum and the skin meet. At this point the peritoneum was opened under direct vision without an incision. A blunt trocar was then easily introduced into the peritoneal cavity without forceful manipulation. The rest of the procedure was accomplished as usual.
RESULTS: Seventy-seven laparoscopic procedures were completed in 77 patients (mean age 4.8 years, range 1 month to 17.75 years). Patient weight ranged from 8 to 66 kg. The procedures included diagnostic laparoscopy for undescended testis (52), varicocelectomy (11), nephrectomy (6), nephroureterectomy (1) and others (7). All attempts were successful. Mean followup was 15.9 months.
CONCLUSIONS: The most important advantage of this technique is that it offers easy and safe access to the peritoneal cavity even in obese individuals. In addition, this access is rapidly accomplished and offers good cosmetic results.
Author List
Franc-Guimond J, Kryger J, González RAuthor
John V. Kryger MD Chief, Professor in the Urologic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentChild
Child, Preschool
Cryptorchidism
Female
Humans
Infant
Infant, Newborn
Laparoscopy
Male
Nephrectomy
Punctures
Urologic Surgical Procedures
Varicocele
