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Highlights: 3rd International Neonatal MIS Symposium

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

  2. ICG helps identify ureteral leaks during duodenal lariats

  3. Small intentional peritoneal puncture trick for dissection

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

  5. Kimura technique description for duodenal anastomosis

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

  7. Running back‑wall then front‑wall sutures

  8. Ultrasound confirmation of balloon position

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

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

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

  12. Reported recurrence rates: thoracoscopic vs open repair

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

  14. Impact of structured program on esophageal atresia outcomes

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

  16. Gestational age and birth weight guide neonatal MIS selection

  17. Technical description of the balloon used for tracheal occlusion

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

  19. Avoiding peritoneal gaps in girls – technique tip

  20. Infra‑umbilical 5 mm trocar placement for neonates

  21. Patient selection criteria for CDH minimally invasive surgery

  22. Seromuscular suturing technique, skipping the mucosa

  23. Internal traction vs waiting: managing type C cases

  24. Bivalving the cyst to expose ducts before transection

  25. Never combine energy and clips on the same vessel

  26. Complication: stomach migration into chest and its management

  27. Single‑lung ventilation tip for thoracoscopic cases

  28. Advantages of laparoscopy over open repair in boys

  29. Parallel lab and OR training to reduce operative time

  30. Key radiological sign: football sign of free air

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

  32. Definition of long‑gap types A and B

  33. Intra‑operative insufflation management to avoid hypercapnia

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

  35. ICG tumor retention in hepatoblastoma vs normal liver tissue

  36. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  38. Exclusion criteria and size limits for fetoscopic repair

  39. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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