Laparoscopy: left IFTT with necrosis of the tube and normal ipsilateral ovary.

Role of Laparoscopy in the Management of Isolated Fallopian Tube Torsion in Adolescents

  ABSTRACT Background/Purpose Isolated Fallopian tube torsion (IFTT) is a rare cause of acute abdominal pain in female. The preoperative diagnosis is difficult because of a lack of specific clinical and radiological signs. Surgery is often performed when is no longer possible to preserve the integrity of the tube. We report our experience in the […]

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Fig 6:  Laparoscopic-assisted mesocolon dissection performed in a 6 years-old child: the mesenteric dissection proceeds until the distal exteriorization of the colon is possible.

Technical Modification of the Georgeson Procedure for Hirschsprung’s Disease: a 12 Years Experience with the Laparoscopic-Assisted Mesocolon Dissection

  ABSTRACT Introduction: Actually the primary laparoscopic endorectal colon pull-through, reported by Georgeson, is the gold standard in the treatment of Hirschsprung’s disease. In this procedure the dissection of the aganglionic colon is performed laparoscopically. We describe a technical modification of the Georgeson procedure: the laparoscopic-assisted mesocolon dissection. Methods: A retrospective analysis was performed on […]

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Video-Assisted Colorraphy of Iatrogenic Colonic Perforation: a Case Report

ABSTRACT: Iatrogenic colonic perforation is the most severe complication of lower gastrointestinal endoscopy. A prompt diagnosis is necessary in order to identify the site of perforation and to reduce peritonitis due to bacterial seeding. We reported our experience with a 10-month old baby admitted for descending colonic perforation during an endoscopic procedure, in whom an […]

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Figure 5. Tracheoscopy: upper and lower coexisting TEFs

Endoscopic Airway Evaluation in Congenital Tracheoesophageal Fistula. Pediatric airway endoscopy

Abstract: Introduction. The communication between the trachea and esophagus is called tracheoesophageal fistula (TEF). It can occurs as a congenital  malformation (0.025-0.05%) (in particular related to the esophageal atresia) or can occurs as an acquired pathology. Endoscopic evaluation is the gold standard for the diagnosis of TEF and must be performed, in presence of symptoms […]

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Figure 1.  Endoscopic aspect of the gastric tumor compatible with heterotopic pancreas

Heteropic gastric pancreas associated with type II esophageal atresia and presenting with acute gastrointestinal bleeding

Abstract Heterotopic pancreas is defined as pancreatic tissue found outside its normal localization without vascular or anatomic communication with the pancreatic gland. It is usually diagnosed incidentally, but it may also be responsible for acute clinical pictures.  We discuss an interesting case of ectopic pancreas associated with type II esophageal atresia and presenting with gastrointestinal […]

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Laparo-Assisted Treatment of Intestinal Atresia: a single center experience

Introduction The Jejuno – ileal atresia is the most usual cause of congenital intestinal occlusion in newborns and the duodenal atresia is the most usual cause of high bowel obstruction in the neonatal period (1). In most cases, prenatal diagnosis is possible thanks to ultrasound monitoring of the pregnancies. Early diagnosis together with the neonatal […]

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Figure 8: Wilms tumor stage I

Laparoscopic Nephrectomy for Wilms Tumor

Purpose Wilms tumor is the most frequent primary renal malignancy in children. The surgical resection is traditionally performed through laparotomy. The advent of laparoscopic surgery for benign renal lesions has conducted the surgeon to apply a minimal invasive approach for the nephroblastoma[1]. As described in the literature, there are different benefits in the use of […]

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Bronchogenic Cyst in a Child: the use of a 5 mm stapler for thoracoscopic resection

Introduction Over the past two decades minimally invasive techniques have been widely used in children thanks to instrumental and technological development. The advantages of minimally invasive surgery are well known and they are even more important in pediatric age. Unfortunately the widespread adoption of these techniques is limited by small spaces in which the surgeon […]

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A New Robotic Platform for Endoscopic Skill Training

Introduction Nowadays, basic training in laparoscopy is executed in three ways: Trainings Based on real Animals (TBA), Laparoscopic Trainer Box (LTB) (Fig.1a), and Virtual Reality Simulators (VRS) (Fig.1b). The training on living animals represents the best solution in terms of force feedback and realism, but on the other hand it is very expensive and involves […]

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Editor’s Foreword

JEMIS (Journal of endoscopic and minimally invasive surgery) is a multidisciplinary journal, dedicated to the promotion of research, postgraduate training and further training in minimally invasive surgery of the newborn, children and adolescents.

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