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Highlights: 3rd International Neonatal MIS Symposium

  1. Surgeon ergonomics: neutral wrists, elbows at 90°, table height

  2. ICG intraluminal injection to evaluate ureteral implantation and avoid injury

  3. ICG depth limitation: only visible up to ~2 cm in tissue

  4. PIRS set-up: blunt aspiration needle vs Abocath 16G

  5. ICG for vascular assessment of appendix before and after Mitrofanoff procedure

  6. ICG helps identify ureteral leaks during duodenal lariats

  7. Small intentional peritoneal puncture trick for dissection

  8. Survival benefit: 55% vs 8% without FETO

  9. Kimura technique description for duodenal anastomosis

  10. ECMO reduction after FETO (90‑95% to 30%)

  11. Running back‑wall then front‑wall sutures

  12. Ultrasound confirmation of balloon position

  13. Importance of 3 mm instruments and trocars for neonatal MIS

  14. Key safety principle: anticipate failure and plan for it

  15. Use of ICG to assess bowel perfusion in NEC before and after anastomosis

  16. Reported recurrence rates: thoracoscopic vs open repair

  17. Vessel sealing strategy – partial cut, confirm seal before division

  18. Impact of structured program on esophageal atresia outcomes

  19. Hitch sutures on the falciform ligament and gallbladder for exposure

  20. Gestational age and birth weight guide neonatal MIS selection

  21. Technical description of the balloon used for tracheal occlusion

  22. High-performance mentored training: the way to advanced MIS skills

  23. Avoiding peritoneal gaps in girls – technique tip

  24. Infra‑umbilical 5 mm trocar placement for neonates

  25. Patient selection criteria for CDH minimally invasive surgery

  26. Seromuscular suturing technique, skipping the mucosa

  27. Internal traction vs waiting: managing type C cases

  28. Bivalving the cyst to expose ducts before transection

  29. Never combine energy and clips on the same vessel

  30. Complication: stomach migration into chest and its management

  31. Single‑lung ventilation tip for thoracoscopic cases

  32. Advantages of laparoscopy over open repair in boys

  33. Parallel lab and OR training to reduce operative time

  34. Key radiological sign: football sign of free air

  35. Pre‑operative stabilization thresholds (PCO2 & SpO2)

  36. Definition of long‑gap types A and B

  37. Intra‑operative insufflation management to avoid hypercapnia

  38. Long-gap esophageal atresia: not an emergency, refer to an experienced center

  39. ICG tumor retention in hepatoblastoma vs normal liver tissue

  40. Debate: hepaticojejunostomy vs hepaticoduodenostomy

  41. Using 3 mm reusable trocars with a 3‑mm cap to avoid clash

  42. Exclusion criteria and size limits for fetoscopic repair

  43. Ergonomics and instrument handling in reduced fields

  44. Onco‑targeted ICG (folate receptor) for sarcoma imaging

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