Pediatric laparoscopy: Facts and factitious claims

Laparoscopy and pediatric urology

Minimally invasive surgery has became in the recent years a synonyme of laparoscopic surgery. It may be simply attributed to the significant advances in surgical technique worldwide. However it must be stated that laparoscopy has not found such a wide application in pediatric urology, as in other surgical specialities. The manuscript “The retroperitoneal approach to distal part of the ureter [1...

Pediatric peritoneoscopy (laparoscopy).

Laparoscopy in Complicated Pediatric Appendicitis

BACKGROUND Complicated appendicitis (gangrenous or perforated) has been associated with increased risk for postoperative complications, especially intraabdominal abscess. Caution has been advised when attempting laparoscopic appendectomy for complicated appendicitis in children. The objective of our study was to assess the incidence of intraabdominal abscess formation after laparoscopic appende...

Laparoscopy in Pediatric Abdominal Trauma

BACKGROUND The use and indications for laparoscopy have been increasing. As part of this trend, a new algorithm may emerge for pediatric trauma in which laparoscopic techniques are used in hemodynamically stable patients with suspected hollow viscus perforation. CASE REPORT We present a case in which laparoscopy was successfully used in a pediatric trauma patient as a diagnostic and therapeut...

Juries and medical malpractice claims: empirical facts versus myths.

Juries in medical malpractice trials are viewed as incompetent, antidoctor, irresponsible in awarding damages to patients, and casting a threatening shadow over the settlement process. Several decades of systematic empirical research yields little support for these claims. This article summarizes those findings. Doctors win about three cases of four that go to trial. Juries are skeptical about ...