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Introduction: In the 80s it was shown that laparoscopic surgery was fully applicable to pediatric patients and this has generated many of the conventional techniques, are reproduced by minimally invasive approaches. Despite this, even generated controversy over its aplicabalidad and development in daily practice, for this reason we have the objective to know the opinion of national pediatric surgeons on its perception of minimally invasive surgery. Material and Methods: A study of opinion, prospective, transversal and descriptive by applying a standard questionnaire applied to national pediatric surgeons for a total of 126 pediatric surgeons surveyed, in which data were collected general perception of training, satisfaction and future of minimally invasive surgery. The reliability of responses was established with the Person test, in which values less than 0.5 were considered significant. Results: Among the results obtained for 68% of respondents are from the region of the country centrooccidente. 93% of surveyed pediatric surgeons develop minimally invasive approach, of which 35% are between 5 and 10 years of experience as surgeons. 91% made less than five surgeries per week without supervision, and 31% of surgeons believed that perform in a minimally invasive unit is the best choice for training in this modality. Group of surgeons who do not practice laparoscopy, 55% consider it of little use. Conclusions: 1) The general view is that the community has an enthusiasm pediatric surgeons open to these approaches, and define a greater increase in satisfaction as pediatric surgical specialists to develop minimally invasive surgery.2) Laparoscopic surgery in our environment is widely accepted by pediatricians pirujanos group, which follows a progressive and positive developments in this area of surgery in our country, so in the coming years, should encourage the appropriate tutorial training of surgeons in training, since it is a complex approach that requires particular skills. 3) We consider the objective standardization of work plans in order to develop the skills of minimally invasive surgery baselines for residents and surgeons the skills of experienced surgeons. 4) Robotic surgery should be to promote regular, capitalizing on the growing interest in this area. [ABSTRACT FROM AUTHOR]

Introduction: The laparoscopic repair of inguinal hernia was introduced today as an alternative to conventional repair of inguinal hernia in children, however its use is less accepted. The aim of this paper is to present the experience gained with the implementation of inguinal plasty minimally invasive approach. Material and Methods: We performed a prospective observational study, we randomly selected patients aged between one and 14 years of age with clinically diagnosed unilateral inguinal hernia, performing laparoscopic surgical repair. Results: We selected 64 patients with clinical diagnosis of unilateral inguinal hernia, in which patients underwent laparoscopic inguinal plasty, making exploration of contralateral side under endoscopic vision. The incidence of bilateral inguinal hernia in male patients was 10%, and female patients 13%, operating time ranged between 20 and 55 min. None of the patients had postoperative complications or trans, or recurrences in a follow-up to three years to five months. Discussion: The results obtained in this study reported that the prevalence in the symptomatic side was right, with a lower incidence than reported, the age range do not change the bibliographic documents, being a safe alternative to have low incidence of complications and immediate and delayed contralateral exploration can not be so surgical aggression. [ABSTRACT FROM AUTHOR]

Introduction: Varicocele is a very controversial surgical pathology in the diagnosis, surgical indication and even in surgical technique. You have several questions in his trataminto. To resolve these questions we decided to make only one surgical technique is to Ivanissevich and present to you our experience. Material and Methods: A retrospective study in two general hospitals, the work was done on the basis of two earlier cases where the artery was ligated not recurred. The indication for surgery was: large varicocele, pain and diminished size of affected testis in relation to the contralateral, we studied age, surgical indications and complications. Results: There were a total of 67 cases in 15 years. Percentage of surgical indications were large varicocele, testicular volume decreased and pain. The most frequent complications were: hydrocele in six cases, even when patients have been followed has not reported any testicular atrophy or hypotrophy Discussion: The most controversial topic is whether the surgical technique should only link the artery or veins. The experience of us is that there were proportionately more recurrences when the vein ligated only when fully linked vascular bundle and there was no testicular atrophy due to lack of irrigation. Conclusions: The indications of varicocelectomy are: Major varicocele, testicular volume and decreased pain. The technique used is high ligation of the entire vascular bundle. In our cases there was no report atrophic testis. [ABSTRACT FROM AUTHOR]