Abstract
Despite the significant advancement of minimally invasive surgery (MIS) in the adults and even in pediatric population, its role as the standard of care in the neonates has not yet been established among the pediatric and neonatal surgeons universally. Lots of controversies still arise though several advanced centers in the world having very experienced surgeons performing MIS for neonatal surgical conditions with promising outcomes. The unique physiological characteristics of a neonate make MIS quiet a challenging subject among these tiny babies. We have tried to look into the recent literature on the issues related to the use of MIS for the surgical management of neonates.
Highlights
Despite the significant advancement of minimally invasive surgery (MIS) in the adults and even in pediatric population, its role as the standard of care in the neonates has not yet been established among the pediatric and neonatal surgeons universally
MIS has gradually been accepted as a treatment modality for neonatal surgical conditions
A recent study involving pediatric surgeons from around the world has shown the skepticism among the pediatric surgeons about performing MIS for neonatal conditions
Summary
"We are made wise not by the recollection of our past, but by the responsibility for our future" [GB Shaw]. Invasive surgery (MIS) encompasses both laparoscopic and thoracoscopic procedures. Challenges of MIS in neonates: Despite MIS having several worth mentioning advantages over open procedures among neonates, pediatric and neonatal surgeons from around the globe historically have reservations in performing and recommending it for neonatal surgical conditions [2,3,4,16]. Introduction of digital 3D cameras, miniaturization of instruments like 3mm angled scopes, and "minilaparoscopy", improved energy sources can prove important contributing factors for advancement of neonatal MIS [1,2,17]. The low volume of MIS procedures performed in the neonates acts as deterrent force to attract the manufacturing companies to come up with smaller, more sophisticated instruments [12,18,20].
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