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Pediatric Minimal Access Surgery

2005 Edition, May 26, 2005

Complete Document

Detail Summary

Active, Most Current

Additional Comments:
ISBN: 978-0-8247-5447-1
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Product Details:

  • Revision: 2005 Edition, May 26, 2005
  • Published Date: May 26, 2005
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 520
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


The widespread use of minimal access techniques for performing surgical procedures has arguably been the greatest advance in surgery over the past 15 years. In addition to lessening the visible scar, the use of minimal access approaches may decrease postoperative pain, minimize postoperative ileus, shorten hospital stay, and decrease cost. In some cases this technology has been credited for other benefits such as decreased adhesion formation, better visualization of anatomy, and attenuation of the surgical stress response. At its inception, minimal access surgery was limited to the adult population. In the last decade, it has been widely adopted by pediatric surgeons, and applied in creative ways to the unique conditions and needs of the heterogeneous pediatric population.

There have been a number of books written on the topic of pediatric minimal access surgery. As the field is expanding rapidly, these books have grown from small monographs to larger, more comprehensive volumes. The focus of most texts on this topic has largely been technical and procedural as it is these advances that have allowed minimal access surgery to be applied in a seemingly limitless fashion in the pediatric population. As with many technological advances, however, there has been a tendency for evidencebased practice to lag behind the many other forces (e.g., economic incentives, academic interest, and consumer demand) that drive the creation and application of new and innovative techniques. In contrast to previous publications, this book focuses on the principles behind the use of minimal access approaches, and the evidence, to date, that has been accumulated to support their use. We recognize that for many conditions and operations, there is a dearth of significant evidence or that the evidence is extrapolated from the results of operations in the adult population, and thus may not be directly applicable to children. This first edition can be viewed as "embryonic" in its development. It is intended to stimulate readers into taking an evidence-based and principle-based approach when using minimal access technology. The "holes" in our outcomes knowledge need to be studied and filled in. We also hope that this book will stimulate an interest in contributing to the acquisition of evidence by having pediatric caregivers participate in proper trials and studies.

This book is dedicated to Ferne, Jessica, Benjamin and Alexander, Laura, Samantha, and Melanie, without whose support and understanding we would never have been able to complete this work. We thank all of the contributors for their time and patience. Most of all, we dedicate this book to all of the children, past and future, who have taught us and helped us to use our hands, minds and hearts in the pursuit of a better way.