JPSB logo
Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 4 No. 1 (2013)

Laparoscopy in Neonates in Bangladesh: Technical Challenges and Experience in Chittagong

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2013
CONTENTSVolume 04Number 1January 2013
Editorial
Antenatally Diagnosed Surgical Malformations - Who Should Decide
Md Tosaddeque Hossain Siddiqui
01
Review Articles
Congenital Pouch Colon
Kaniz Hasina
24
Original Articles
Laparoscopy in Neonates in Bangladesh: Technical Challenges and Experience in Chittagong
Md Jafrul Hannan, Md Mozammel Hoque
05
Pediatric Laparoscopic Surgery: Four Years Experience in Dhaka Medical College Hospital
Tahmina Hossain, Md Ashraf Ul Huq
11
Inappropriate Circumcision: Referrals by General Practitioners
S Islam, AKMA Morshed, S Hoque
19
Case Reports
Solitary Fibrous Tumor of the Chest Wall in an Infant- A Rare Case Report
SM Sabbir Enayet, Kaniz Hasina
28
A Case Report of Nasopharngeal Carcinoma in Children presented with rt. Neck Mass
AKM Amirul Morshed, Shahnoor Islam, Zakia Rahman, Helena Begum, Syed Ahsan Ali
32
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
View Contents

Authors

  • Md Jafrul HannanDepartment of Pediatric Surgery, South Point Hospital, 11 Access Road, Chotopul, Agrabad, Chittagong
  • Md Mozammel HoqueDepartment of Pediatric Surgery, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong

Abstract

Introduction: Pediatric Minimally Invasive Surgery is a relatively newer concept in Bangladesh and started about 8 years ago. It took some time to gather sufficient expertise to start in the neonates. However, due to resource constraints we are to practice with conventional equipments and still performing some advanced procedures. We are one of the pioneers in neonatal laparoscopy in Bangladesh and this article will review the common procedures that we perform. Materials and methods: From 7, October 2005 to 30, June 2011, 1953 cases underwent laparoscopic/thoracoscopic procedures in our department of which 117 were neonates. We have used conventional 5 mm 30 cm instruments including 5 mm 30° telescope. First trocar was introduced by open method and CO₂ was pressure was kept below 8 mmHg. Age, sex, indications, operative procedures, complications and outcomes are evaluated retrospectively. Results: Ages ranged from 3 days to 30 days with males predominant (1: 0.56). Laparoscopy-assisted pullthrough for Hirschsprung’s disease was the commonest procedure (71) followed by Pyloromyotomy (21), Inguinal hernia repair (15), Ovarian cystectomy (06) and Diaphragmatic hernia repair (03). Six cases needed conversion, port-site infection occurred in 5 cases and incisional hernia in one. Six cases of Georgeson’s operation developed sepsis needing colostomy and three (2.56% of total neonates) of them died. Follow up was from 3 months to 5 years. Twenty three out of 60 successful Georgeson’s operations had peri-anal excoriation persisting for initial 2-3 weeks. Forty six cases are now having normal bowel habits, seven having constipation, five occasional soiling and two fecal incontinence. One (6.66%) inguinal hernia recurred. Overall 70% had uneventful outcomes and 9.4% had serious complications including death. Conclusions: Laparoscopy can be done in neonates using basic instruments with reasonable outcomes in a developing country setting

Journal of Paediatric Surgeons of Bangladesh (2013) Vol. 4 (1): 5–10

Read full article (PDF)