Laparoscopic interventions in pediatric short-stay surgical units
- Authors: Korochkin M.V.1, Sharkov S.M.1,2, Imanalieva A.A.1,3, Poddubnyj G.S.1, Zhukova O.N.1, Manzhos P.I.3
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Affiliations:
- Morozovskaya Children’s Clinical Hospital
- Sechenov First Moscow State Medical University (Sechenov University)
- Peoples’ Friendship University of Russia (RUDN University)
- Issue: Vol 27, No 1 (2023)
- Pages: 42-47
- Section: CASE REPORT
- Submitted: 06.04.2023
- Accepted: 06.04.2023
- Published: 06.04.2023
- URL: https://jps-nmp.ru/jour/article/view/653
- DOI: https://doi.org/10.55308/1560-9510-2023-27-1-42-47
- ID: 653
Cite item
Abstract
Introduction. One-day surgery in pediatrics is the most preferred form of elective surgical care for children. However, today issues of laparoscopic surgical interventions in children in a one-day hospital unit remain debatable, since these interventions often require tracheal intubation which increases risks of anesthetic complications at early postoperative period.
Material and methods. From 2017 to 2021, 2401 laparoscopic interventions were performed on patients with varicocele, inguinal hernia and non-palpable testicular syndrome in the short-stay department of Morozovskaya Children’s City Clinical Hospital. Average age of patients was 7 years (range 1–18 years). 910 laparoscopic herniorrhaphies, 1412 laparoscopic testicular vein ligations and 79 diagnostic laparoscopies were performed. The department has developed a unique algorithm of anesthesia for laparoscopic surgeries in children in a short-stay unit.
Results. There were no anesthesia-related complications or other intraoperative complications. Restoration of independent motor activity in patients is registered in 1.5–2 hours after surgery. Average length of stay in the department is 7.1 hours (6–8 hours).
Conclusion. Thus, currently, modern high-tech laparoscopic surgeries are carried out in short-stay surgical departments, while previously they were performed only in round-clock surgical departments. The researchers could achieve such successful results because of an original algorithm of safe anesthesia which has been developed in the department. This anesthetic support is highly effective for laparoscopic interventions in children with elective surgical pathologies in a short-stay hospital.
Keywords
About the authors
M. V. Korochkin
Morozovskaya Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0001-7950-6618
119049, Moscow
РоссияS. M. Sharkov
Morozovskaya Children’s Clinical Hospital; Sechenov First Moscow State Medical University (Sechenov University)
Email: fake@neicon.ru
ORCID iD: 0000-0002-9563-6815
119049, Moscow
119991, Moscow
РоссияA. A. Imanalieva
Morozovskaya Children’s Clinical Hospital; Peoples’ Friendship University of Russia (RUDN University)
Author for correspondence.
Email: aigul-1587@mail.ru
ORCID iD: 0000-0002-0949-7725
Aigul А. Imanalieva, assistant, department of hospital surgery
119049, Moscow
117198, Moscow
РоссияG. S. Poddubnyj
Morozovskaya Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-7887-1186
119049, Moscow
РоссияO. N. Zhukova
Morozovskaya Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-0922-8138
119049, Moscow
РоссияP. I. Manzhos
Peoples’ Friendship University of Russia (RUDN University)
Email: fake@neicon.ru
ORCID iD: 0000-0003-1179-921X
117198, Moscow
РоссияReferences
- Куклин В.Н. Анестезия в отделении хирургии одного дня. Обзор литературы. Вестник интенсивной терапии им. А.И. Салтанова. 2020; 4: 88–98. https://doi.org/10.21320/1818-474X-2020-4-88-98
- Сажин В.П., Федоров А.В., Мальчиков А.Я., Юдин В.А. Большая амбулаторная хирургия. Есть ли перспективы? Хирургия. Журнал им. Н.И. Пирогова. 2019; 5: 18–24. https://doi.org/10.17116/hirurgia201905118
- Segerdahl M., Warrén-Stomberg M., Rawal N., Brattwall M., Jakobsson J. Children in day surgery: clinical practice and routines. The results from a nation-wide survey. Acta Anaesthesiol Scand. 2008; 52(6): 821–8. https://doi.org/10.1111/j.1399-6576.2008.01669.x
- Letts M., Davidson D., Splinter W., Conway P. Analysis of the efficacy of pediatric day surgery. Can J Surg. 2001; 44(3): 193–8.
- De Luca U., Mangia G., Tesoro S., Martino A., Sammartino M., Calisti A. Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI). Ital J Pediatr. 2018; 44(1): 35. https://doi.org/10.1186/s13052-018-0473-1
- Kumar R., Choudhury S.R., Yadav P.S., et al. An analysis of safety and efficacy of day-care surgery in children in a tertiary care Hospital in India. J Indian Assoc Pediatr Surg. 2021; 26(3): 148–52. https://doi.org/10.4103/jiaps.JIAPS_52_20
- Петряйкина Е.Е., Корочкин М.В., Поддубный Г.С., Мурчина А.Н., Гурзо Ю.Д., Корнюшко А.Ю., Гридина Л.Ю., Иманалиева А.А., Манжос П.И. Возможности стационарозамещающих технологий в хирургии детcкого возраста. Детская хирургия. 2019; 23(5): 258–63. https//doi.org/10.18821/1560-9510-2019-23-5-258-263
- Upadhyaya M., Lander A. Day-case surgery in children. Surgery (Oxford) 2013; 31: 140–4. https://doi.org/10.1016/j.mpsur.2013.01.010
- Kache S.A., Sale D., Ajah J.L., Makama J.G. Paediatric day-case surgery in a new paediatric surgical unit in Northwestern Nigeria. Afr J Paediatr Surg. 2018; 15(2): 97–9. https://doi.org/10.4103/ajps.AJPS_50_17
- Ogunjimi M.A., Ojewola R.W., Fatuga A.L., et al. Urologic day case surgery at a Nigerian Tertiary Hospital: a 5-year experience. Niger J Clin Pract. 2021; 24(9): 1380–4. https://doi.org/10.4103/njcp.njcp_671_20
- Olson J.K., Deming L.A., King D.R., Rager T.M., Gartner S., Huibregtse N., R. Lawrence Moss, Besner G.E. Single visit surgery for pediatric ambulatory surgical procedures: a satisfaction and cost analysis. Journal of Pediatric Surgery. January 2018; 53(1): 81–5. https://doi.org/10.1016/j.jpedsurg.2017.10.021
- Довгаль Н.П., Быков О.К. 30-летний опыт работы детского хирургического стационара одного дня. Хiрургiя дитячого вiку. 2017; 1(54): 25–8. https://doi.org/10.15574/PS.2017.54.25 (на украинском)
- Корочкин М.В., Кравчук С.В., Поддубный Г.С., Сумарокова Е.В., Тарусин Д.И. Детский хирургический стационар кратковременного пребывания в условиях мегаполиса. Проблемы социальной гигиены, здравоохранения и истории медицины. 2019; 27(спецвыпуск): 587–93. https://doi.org/10.32687/0869-866X-2019-27-si1-587-593