Skip to main content
Log in

Umbilical approach using the sliding-window method to avoid a large abdominal incision: report of two pediatric cases

  • Technical Innovations
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

The sliding-window method of minimally invasive abdominal surgery was introduced in adults. Here, we describe its use in children. Two girls below age 12 underwent minilaparotomy by this method through umbilical incisions. Conditions requiring the operations were a large omental cyst in one patient and splenomegaly and cholelithiasis in the other. Postoperative courses were uneventful, and cosmetic results were acceptable. An umbilical approach using the sliding-window method is a practical way to avoid large abdominal incisions in pediatric patients undergoing major abdominal surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Hashimoto D (1995) Various GI operations with abdominal wall lifting method. In: Hashimoto D, Nayeem SA, Hoshino T (eds) Advanced techniques in gasless laparoscopic surgery. World Scientific, Singapore, pp 195–222

    Google Scholar 

  2. Tan KC, Bianchi A (1986) Circumumbilical incision for pyloromyotomy. Br J Surg 73:399

    PubMed  Google Scholar 

  3. Fitzgerald PG, Lau GY, Langer JC et al (1990) Umbilical fold incision for pyloromyotomy. J Pediatr Surg 25:1117–1118

    Article  PubMed  Google Scholar 

  4. Soutter AD, Askew AA (2003) Transumbilical laparotomy in infants: a novel approach for a wide variety of surgical disease. J Pediatr Surg 38:950–952

    Article  PubMed  Google Scholar 

  5. Sauer CJE, Langer JC, Wales PW (2005) The versatility of the umbilical incision in the management of Hirschsprung’s disease. J Pediatr Surg 40:385–389

    Article  PubMed  Google Scholar 

  6. Christopher RM (1998) Gastrointestinal endoscopy, laparoscopy, and other noninvasive surgical techniques. In: O’Neill JA Jr, Rowe MI, Grosfeld JL et al (eds) Pediatric Surgery, 5th edn. Mosby, St Louis, pp 1233–1251

    Google Scholar 

  7. Meehan JJ, Georgeson KE (1997) The learning curve associated with laparoscopic antireflux surgery in infants and children. J Pediatr Surg 32:426–429

    Article  PubMed  Google Scholar 

  8. Waldhausen JH, Tapper D (1997) Is pediatric splenectomy safe and cost-effective? Arch Surg 132:822–824

    PubMed  Google Scholar 

  9. Kaneko K, Tsuda M (2004) Four-triangular-skin-flap approach to umbilical diseases and laparoscopic umbilical port. J Pediatr Surg 39:1404–1407

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Akio Odaka.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Odaka, A., Hashimoto, D. Umbilical approach using the sliding-window method to avoid a large abdominal incision: report of two pediatric cases. Ped Surgery Int 21, 928–931 (2005). https://doi.org/10.1007/s00383-005-1519-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-005-1519-1

Keywords

Navigation