title: Single Incision Pediatric Endoscopic Surgery: Advantages of a Relatively Large Incision.
abstract: OBJECTIVE
  To describe Single Incision Pediatric Endoscopic Surgery (SIPES) performed on children with various diagnoses, emphasizing its advantages.
  
  
  METHODS
  An observational case series.
  
  
  METHODS
  Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Child Health Hospital, Ankara, Turkey, from January 2011 to November 2014.
  
  
  METHODS
  A review of patient charts was conducted in which SIPES was preferred as the surgical procedure. Patient demographics, operative details, operative time, clinical outcomes, postoperative pain and cosmesis were analyzed.
  
  
  RESULTS
  SIPES was performed on 45 patients (21 girls, 24 boys). Thirty-three appendectomies, 5 varicocelectomies, 3 oophorectomies, 2 ovarian and one paratubal cyst excision, and one fallopian tube excision were performed. All except one procedures were performed through our standard 2 cm umbilical vertical or smile incision. In 18 cases, abdominal irrigation/aspiration was easily performed through the existing larger incision, as is done with open surgical technique. None of the patients had early postoperative shoulder/back pain since complete disinflation of CO2could be ensured. All of the patients/parents were satisfied with the cosmesis.
  
  
  CONCLUSIONS
  SIPES has the advantages of limiting the surgical scar to within the umbilicus and providing easy disinflation of CO2, allowing intraabdominal cleaning and extraction of large volume tissue samples through a single large umbilical incision.
authors: Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
authors: Engin
authors: E
authors: Yilmaz
authors: Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
authors: Cagatay Evrim
authors: CE
authors: Afsarlar
authors: Department of Pediatric Surgery, Bitlis State Hospital, Bitlis, Turkey.
authors: Ahmet
authors: A
authors: Erturk
authors: Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
authors: Ibrahim
authors: I
authors: Karaman
authors: Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
authors: Ayse
authors: A
authors: Karaman
authors: Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Ankara, Turkey.
authors: Yusuf Hakan
authors: YH
authors: Cavusoglu
mesh_terms: D000293:Adolescent; D001062:Appendectomy; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D061646:Operative Time; D010049:Ovarian Diseases / Q000601:surgery*; D010149:Postoperative Pain; D016896:Treatment Outcome; D014421:Turkey; D014472:Umbilicus