Pneumovesicoscopy (from Ancient Greek πνεῦμα (pneuma), meaning "air", Latin Vesica, meaning "bladder" and Ancient Greek σκοπέω (skopeo), meaning "to see") is a minimally invasive surgery procedure increasingly gaining traction in urologic surgery, especially for children.Rai R, Jacobsen AS. Recent advances in minimal invasive surgery of children. JIMSA. 2014;27:101–7. The procedure involves insertion of a 5mm (or 3mm) optical port into the dome of a saline-distended urinary bladder under cystoscopy guidance. The cystoscope is then withdrawn, the saline drained and bladder insufflated with carbon dioxide at 8–10 cm to create the working space. Two lateral 5(or 3)mm operative ports are then inserted under visual guidance for performance of surgery.Marte A, Cavaiuolo S, Esposito M, Pintozzi L. Vesicoscopic Treatment of Symptomatic Congenital Bladder Diverticula in Children: A 7-Year Experience. European journal of pediatric surgery: official journal of Austrian Association of Pediatric Surgery...[et al]= Zeitschrift fur Kinderchirurgie. 2015 May 19.
In recent years pneumovesicoscopy has been used for problems ranging from ureteric re-implantation,Marte A, Sabatino MD, Borrelli M, Nino F, Prezioso M, Pintozzi L, Parmeggiani P. Pneumovesicoscopic correction of primary vesicoureteral reflux (VUR) in children. Our experience. European journal of pediatric surgery. 2010 Nov 1;20(6):366. to removal of bladder stones, bladder diverticulaMarte A, Sabatino MD, Borrelli M, Balzo BD, Nino F, Prezioso M, Parmeggiani P. Pneumovesicoscopic treatment of congenital bladder diverticula in children: our experience. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2010 Jan 1;20(1):87–90. and foreign bodies in the urinary bladder.Pandey PK, Suruchi S, Bera MK, Sharma PK, Singh JP. Pneumovesicoscopy: An Effective Technique for Urinary Bladder Foreign Body. Urology journal. 2014 Apr 1;10(4):1140–1.
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