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  4. Surgical Technique

Vol. 6 No. 1 (2020)

August 2020

Stealth Surgery in Pediatric Age Group-an Aesthetic Alternative

  • Saurabh Garge
  • Geetika Paliwal

Iranian Journal of Pediatric Surgery, Vol. 6 No. 1 (2020), 11 August 2020 , Page 44-49
https://doi.org/10.22037/irjps.v6i1.31704 Published: 2020-08-11

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Abstract

Introduction: We used a subcutaneoscopic technique that places incisions at unnoticeable sites to avoid unsightly scars.

Materials and Methods: This is a review of five consecutive cases operated by stealth approach between January 2015 and December 2016. Three cases underwent subcutaneoscopic excision of dermoid cyst and two underwent stealth tenotomy for torticollis. All patients underwent stealth surgery as previously described with few technical modifications.

Results: All five cases underwent successful subcutaneoscopic surgery without the need for conversion. The mean operative duration of the procedure was 45 min.(Range,40-50min) for the external angular dermoid excision and 67.5 min(Range,60-75 min.) for the sternomastoid tenotomy. There were no complications, and all patients had excellent cosmesis.

Conclusion:Subcutaneoscopic excision of dermoid cyst is a technically feasible procedure in pediatric patients and provides excellent cosmesis.

Keywords:
  • Stealth Surgery
  • Subcutaneoscopic
  • Torticollis
  • External Angular Dermoid
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How to Cite

Garge, S. ., & Paliwal, G. . (2020). Stealth Surgery in Pediatric Age Group-an Aesthetic Alternative. Iranian Journal of Pediatric Surgery, 6(1), 44–49. https://doi.org/10.22037/irjps.v6i1.31704
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References

1. Agrawal V, Acharya H, Agarwal P,et al: Subcutaneoscopic excision of external angular dermoid cyst in children without conspicuous scarring. Asian J Endosc Surg 2013;6(3):241-4.
2. Lopez M, Vermersch S, Varlet F: Endoscopic Excision of Forehead and Eyebrow Benign Tumors in Children. J Laparoendosc Adv Surg Tech A 2016;26(3):226-30.
3. Dutta S, Slater B, Butler M et al: “Stealth surgery”: Transaxillary subcutaneous endoscopic excision of benign neck lesions. J Pediatr Surg 2008; 43: 2070–2074.
4. Dutta S, Albanese CT: Transaxillary subcutaneous endoscopic release of the sternocleidomastoid muscle for treatment of persistent torticollis. J Pediatr Surg 2008; 43:447–450.
5. Dutta S, Lorenz HP, Albanese CT: Endoscopic excision of benign forehead masses: A novel approach for pediatric general surgeons. J Pediatr Surg 2006; 41: 1874–1878.
6. Sathya RK, Thomas RJ, Kisku S, et al: Novel use of tendon tunneler to create space with minimal dissection in endoscopic head and neck operations. J Indian Assoc Pediatr Surg 2014 Jan;19(1):52-3.
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