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Highlights: 3rd International Neonatal MIS Symposium

  1. Running back‑wall then front‑wall sutures

  2. Ultrasound confirmation of balloon position

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

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

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

  6. Reported recurrence rates: thoracoscopic vs open repair

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

  8. Impact of structured program on esophageal atresia outcomes

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

  10. Gestational age and birth weight guide neonatal MIS selection

  11. Technical description of the balloon used for tracheal occlusion

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

  13. Avoiding peritoneal gaps in girls – technique tip

  14. Infra‑umbilical 5 mm trocar placement for neonates

  15. Patient selection criteria for CDH minimally invasive surgery

  16. Seromuscular suturing technique, skipping the mucosa

  17. Internal traction vs waiting: managing type C cases

  18. Bivalving the cyst to expose ducts before transection

  19. Never combine energy and clips on the same vessel

  20. Complication: stomach migration into chest and its management

  21. Single‑lung ventilation tip for thoracoscopic cases

  22. Advantages of laparoscopy over open repair in boys

  23. Parallel lab and OR training to reduce operative time

  24. Key radiological sign: football sign of free air

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

  26. Definition of long‑gap types A and B

  27. Intra‑operative insufflation management to avoid hypercapnia

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

  29. ICG tumor retention in hepatoblastoma vs normal liver tissue

  30. Debate: hepaticojejunostomy vs hepaticoduodenostomy

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

  32. Exclusion criteria and size limits for fetoscopic repair

  33. Ergonomics and instrument handling in reduced fields

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

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

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

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

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

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

  40. ICG helps identify ureteral leaks during duodenal lariats

  41. Small intentional peritoneal puncture trick for dissection

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

  43. Kimura technique description for duodenal anastomosis

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

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