Highlights: 3rd International Neonatal MIS Symposium
-
Seromuscular suturing technique, skipping the mucosa
-
Internal traction vs waiting: managing type C cases
-
Bivalving the cyst to expose ducts before transection
-
Never combine energy and clips on the same vessel
-
Complication: stomach migration into chest and its management
-
Single‑lung ventilation tip for thoracoscopic cases
-
Make the knot slide either way
-
Advantages of laparoscopy over open repair in boys
-
Parallel lab and OR training to reduce operative time
-
Key radiological sign: football sign of free air
-
Pre‑operative stabilization thresholds (PCO2 & SpO2)
-
Definition of long‑gap types A and B
-
Intra‑operative insufflation management to avoid hypercapnia
-
Long-gap esophageal atresia: not an emergency, refer to an experienced center
-
ICG tumor retention in hepatoblastoma vs normal liver tissue
-
Debate: hepaticojejunostomy vs hepaticoduodenostomy
-
Why the clip goes first
-
Using 3 mm reusable trocars with a 3‑mm cap to avoid clash
-
Exclusion criteria and size limits for fetoscopic repair
-
No torque on the shaft
-
Ergonomics and instrument handling in reduced fields
-
Onco‑targeted ICG (folate receptor) for sarcoma imaging
-
Surgeon ergonomics: neutral wrists, elbows at 90°, table height
-
Camera is not a punishment
-
ICG intraluminal injection to evaluate ureteral implantation and avoid injury
-
Right arch or left arch?
-
ICG depth limitation: only visible up to ~2 cm in tissue
-
Double layer, hands on
-
PIRS set-up: blunt aspiration needle vs Abocath 16G
-
ICG for vascular assessment of appendix before and after Mitrofanoff procedure
-
When to operate in the NICU
-
ICG helps identify ureteral leaks during duodenal lariats
-
Small intentional peritoneal puncture trick for dissection
-
Put the clip inside the loop
-
Survival benefit: 55% vs 8% without FETO
-
Kimura technique description for duodenal anastomosis
-
ECMO reduction after FETO (90‑95% to 30%)
-
Running back‑wall then front‑wall sutures
-
Ultrasound confirmation of balloon position
-
Importance of 3 mm instruments and trocars for neonatal MIS
-
Key safety principle: anticipate failure and plan for it
-
Use of ICG to assess bowel perfusion in NEC before and after anastomosis
-
Reported recurrence rates: thoracoscopic vs open repair
-
Suturing is like riding a bike
-
Vessel sealing strategy – partial cut, confirm seal before division
-
Impact of structured program on esophageal atresia outcomes
-
Hitch sutures on the falciform ligament and gallbladder for exposure
-
Where the sliding knot came from
-
Gestational age and birth weight guide neonatal MIS selection
-
Technical description of the balloon used for tracheal occlusion
-
High-performance mentored training: the way to advanced MIS skills
-
Avoiding peritoneal gaps in girls – technique tip
-
Infra‑umbilical 5 mm trocar placement for neonates
-
Patient selection criteria for CDH minimally invasive surgery