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Highlights: 3rd International Neonatal MIS Symposium

  1. Technical description of the balloon used for tracheal occlusion

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

  3. Avoiding peritoneal gaps in girls – technique tip

  4. Infra‑umbilical 5 mm trocar placement for neonates

  5. Patient selection criteria for CDH minimally invasive surgery

  6. Seromuscular suturing technique, skipping the mucosa

  7. Internal traction vs waiting: managing type C cases

  8. Bivalving the cyst to expose ducts before transection

  9. Never combine energy and clips on the same vessel

  10. Complication: stomach migration into chest and its management

  11. Single‑lung ventilation tip for thoracoscopic cases

  12. Advantages of laparoscopy over open repair in boys

  13. Parallel lab and OR training to reduce operative time

  14. Key radiological sign: football sign of free air

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

  16. Definition of long‑gap types A and B

  17. Intra‑operative insufflation management to avoid hypercapnia

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

  19. ICG tumor retention in hepatoblastoma vs normal liver tissue

  20. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  22. Exclusion criteria and size limits for fetoscopic repair

  23. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  30. ICG helps identify ureteral leaks during duodenal lariats

  31. Small intentional peritoneal puncture trick for dissection

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

  33. Kimura technique description for duodenal anastomosis

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

  35. Running back‑wall then front‑wall sutures

  36. Ultrasound confirmation of balloon position

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

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

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

  40. Reported recurrence rates: thoracoscopic vs open repair

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

  42. Impact of structured program on esophageal atresia outcomes

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

  44. Gestational age and birth weight guide neonatal MIS selection

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