Collection
Laparoscopic Neonatal and Abdominal Surgery
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
For vessels of this size, this maneuver is extremely efficient as it allows for rapid sealing and division of the mesentery without the repeated placement of endoscopic scissors. Laparoscopic Intestinal Duplication Cyst Repair - Technique · 2:55
Laparoscopic Jejunal Atresia Repair - Technique
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Dr. Steven Rothenberg describes his technique for laparoscopic repair of jejunal atresia with apple peel defect. Key steps to the procedure include Veress entry, identification of the proximal and distal segments of jejunum, mobilization a
video5:55 · Nov 2018
Technique: Laparoscopic Repair of Duodenal Atresia, Ladd's Procedure, and...
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Laparoscopic Repair of Duodenal Atresia, Ladd's Procedure, and Meckel's Diverticulectomy in a Newborn using Just Right stapler by Dr. Steven Rothenberg.
video15:01 · Nov 2018
Laparoscopic Duodenal Atresia Repair in a 1.5 kg Infant
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video · May 2026
Laparoscopic Ladd Procedure for Malrotation in an Infant
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Surgical technique video demonstrating laparoscopic Ladd procedure in an infant with malrotation presenting with bilious vomiting. Shows systematic division of Ladd bands, duodenal mobilization, bowel derotation, and appendectomy using 3mm
video9:22 · May 2026
Laparoscopic Ladd Procedure for Midgut Volvulus in a 12-Year-Old Using CoolSeal Trinity
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Surgical technique video demonstrating laparoscopic reduction of midgut volvulus with Ladd procedure in a 12-year-old with chronic symptoms and acute obstruction. Shows systematic band division, bowel derotation, mesenteric widening, and ap
video8:02 · May 2026
Laparoscopic Intestinal Duplication Cyst Repair - Technique
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Dr. Steven Rothenberg describes his technique for laparoscopic treatment of an intestinal duplication cyst. His technique involves running of the bowel to identify the cyst, opening of the mesentery distal and proximal to the cyst with a ve
video4:58 · Nov 2018
The preferred timing is to perform this operation in the newborn period prior to discharge to home, though it is acceptable if the child tolerates rectal irrigations to let them grow. Technique: Laparoscopic Assisted Pull-through for Hirschsprung's Disease · 4:35
Technique: Laparoscopic Assisted Pull-through for Hirschsprung's Disease
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Laparoscopic Assisted Pull-through for Hirschsprung's Disease using a Just Right sealer by Dr. Steven Rothenberg.
video10:48 · Nov 2018
Technique: Laparoscopic-Assisted Pull-through for Imperforate Anus
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Laparoscopic-Assisted Pull-through for high imperforate anus by Dr. Steven Rothenberg.
video15:14 · Nov 2018
Stapling a 2mm appendiceal artery is unnecessary; if there is a big thick mesentery, stapling is appropriate, but otherwise energy dissection is preferred. Technique: Laparoscopic Appendectomy (Two incision) · 8:37
Technique: Laparoscopic Appendectomy (Two incision)
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Two incision laparoscopic appendectomy by Dr. Steven Rothenberg.
video10:18 · Nov 2018
Mini-Laparoscopic Appendectomy in a 16-Year-Old Using a 5 mm Stapler
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video4:50 · May 2026
Modified Single-Site Laparoscopic Appendectomy with a Suprapubic Port
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video3:23 · May 2026
Laparoscopic Retrograde Appendectomy
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video · May 2026
Laparoscopic Resection of a Crohn's Ileal Stricture Using the 5 mm CoolSeal Trinity
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video10:50 · May 2026
Laparoscopic Stapled Resection of a Post-NEC Ileal Stricture in a Preterm Infant
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video7:47 · May 2026
Open Stapled Bowel Anastomosis
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video · May 2026
Open Bowel Anastomosis
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video · May 2026
Two-hand dissection greatly enhances the surgery by allowing dissection, grasping tissue, and elevating planes with both hands Laparoscopic Median Arcuate Ligament Division in a 17-Year-Old Using the CoolSeal Trinity · 6:00
Laparoscopic Liver Biopsy
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video · May 2026
Laparoscopic Right Adrenal Neuroblastoma Resection in a 3½-Year-Old Using CoolSeal Trinity
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video8:34 · May 2026
Laparoscopic Resection of a Paracaval Neuroblastoma
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video · May 2026
Laparoscopic Median Arcuate Ligament Division in a 17-Year-Old Using the CoolSeal Trinity
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video7:09 · May 2026
A chimney-like umbilicus allows creation of an easily catheterizable stoma by removing a circle of skin and the cicatrix down to the peritoneum. Open Malone and Mitrofanoff Procedure Using a Divided Appendix · 0:20
Laparoscopic-Assisted Percutaneous Right Inguinal Hernia Repair
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Surgical content by Dr. Steve Rothenberg — General
video · May 2026
Robotic hernia repair
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
article · May 2026
Open Malone and Mitrofanoff Procedure Using a Divided Appendix
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Surgical content by Dr. Steve Rothenberg — Abdominal Surgery
video5:13 · May 2026
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Surgeons at this institution perform minimally invasive (laparoscopic) procedures on newborns and children to repair birth defects and treat conditions affecting the intestines, colon, and other abdominal organs [e748-c1, e750-c1, e760-c2, e761-c1, e762-c1]. These operations use small incisions and specialized instruments, including devices that seal blood vessels safely without spreading heat to nearby structures [e760-c6, e760-c12, e11938-c10, e11947-c9]. The physicians discussed cases involving blockages in the intestine present at birth (atresia) [e748-c1, e761-c1], duplicate sections of bowel , Hirschsprung disease (where nerve cells are missing from part of the colon) , imperforate anus (where the anal opening didn't form properly) , twisted intestines (malrotation and volvulus) [e761-c5, e11941-c2], and inflammation from Crohn's disease . Recovery times varied: some babies started eating within days and went home in about a week [e760-c27, e760-c28, e761-c20, e761-c24], while outcomes depended on the specific condition and the child's overall health [e748-c22, e748-c23, e748-c24].
Surgeons at this institution perform minimally invasive (laparoscopic) procedures on newborns and children to repair birth defects and treat conditions affecting the intestines, colon, and other abdominal organs [e748-c1, e750-c1, e760-c2, e761-c1, e762-c1]. These operations use small incisions and specialized instruments, including devices that seal blood vessels safely without spreading heat to nearby structures [e760-c6, e760-c12, e11938-c10, e11947-c9]. The physicians discussed cases involving blockages in the intestine present at birth (atresia) [e748-c1, e761-c1], duplicate sections of bowel , Hirschsprung disease (where nerve cells are missing from part of the colon) , imperforate anus (where the anal opening didn't form properly) , twisted intestines (malrotation and volvulus) [e761-c5, e11941-c2], and inflammation from Crohn's disease . Recovery times varied: some babies started eating within days and went home in about a week [e760-c27, e760-c28, e761-c20, e761-c24], while outcomes depended on the specific condition and the child's overall health [e748-c22, e748-c23, e748-c24].
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Technique: Laparoscopic Assisted Pull-through for Hirschsprung's Disease
The JRS 3 millimeter sealer is used as the primary mode of dissection for laparoscopic-assisted pull-through in Hirschsprung's disease.
Host summaryThe host summarizing the discussion — not the host's own clinical position0:00 ↗
The patient was a newborn weighing 3.2 kg.
Host summaryThe host summarizing the discussion — not the host's own clinical position0:32 ↗
A super umbilical ring incision is used for small newborns to place the Veress needle and 4 mm trocar, with care taken to avoid the umbilical vein by placing the trocar just to the left of midline.
Host summaryThe host summarizing the discussion — not the host's own clinical position0:36 ↗
A full thickness biopsy is obtained from the muscular wall approximately 5 centimeters above the transition zone between the distal sigmoid and rectum.
Host summaryThe host summarizing the discussion — not the host's own clinical position0:53 ↗
The key to mesenteric dissection is staying exactly adjacent to the colon wall to prevent injury to surrounding structures.
clinical1:21 ↗
Because all heat and energy remains between the jaws of the sealer, there is no danger in injuring surrounding structures by brushing aside them with the sealer.
clinical1:32 ↗
Small perforating vessels are grasped, sealed, and then pulled down off the rectal wall during circumferential dissection.
clinical1:48 ↗
Dissection at the peritoneal reflection uses the same technique of grasping the peritoneal reflection and small perforating vessels and pulling them down off the colon.
clinical2:10 ↗
The 3 millimeter sealer allows dissection of vessels and mobilization of tissue around the colon without risk of pass-pointing, unlike the 3 millimeter hook which was previously the preferred mode of dissection.
clinical2:32 ↗
Using the 3 mm sealer eliminates the need for instrument changes with the right hand throughout the case.
clinical2:55 ↗
Carrying the laparoscopic dissection down to the pelvic floor limits the amount of transanal dissection necessary and decreases the risk of injury to the external sphincter.
clinical3:24 ↗
Because there is no energy spread from the tips of the 3 mm sealer, it is safe for the instrument to be adjacent to the bladder, vagina, prostate, and other surrounding structures.
clinical3:42 ↗
Energy being only between the jaws of the instrument diminishes the risk of injury to the ureters, vas deferens, and other vital structures.
clinical4:05 ↗
The preferred timing is to perform this operation in the newborn period prior to discharge to home, though it is acceptable if the child tolerates rectal irrigations to let them grow.
opinion4:35 ↗
With current technology, the operation is considered extremely safe in the newborn period.
opinion4:45 ↗
For the transanal dissection, traction stitches are placed inside the anus just proximal to the dentate line and then out to the skin, slightly inverting the anus so the dentate line can be clearly visualized.
clinical5:13 ↗
Between 4 to 8 sutures are used to evert the anus.
clinical5:38 ↗
A mucosal incision is made with hand cautery 2 to 3 millimeters proximal to the dentate line and crypt.
clinical5:53 ↗
The key to the transanal portion is that it should all take place externally to the anus.
clinical6:28 ↗
The laparoscopic dissection down to the pelvic floor allows the transanal dissection to be carried out outside of the anus, so no retractors are ever placed within the external sphincter which may cause these muscles to be damaged.
clinical6:36 ↗
Sharp dissection is preferred to mobilize the submucosal space, although blunt dissection can also be used.
opinion7:05 ↗
Performing the dissection external to the anus protects the external sphincter muscles and improves the chance of good continence.
clinical7:31 ↗
The colon is divided 5 to 6 centimeters above the biopsy site, which is 5 centimeters above the obvious transition zone.
clinical8:57 ↗
The coloanal anastomosis is performed with 12 to 16 sutures total, placing 3 to 4 additional sutures in each quadrant after the initial 4 quadrant stay sutures.
clinical9:19 ↗
Vicryl suture is used for the anastomosis in newborns.
clinical9:44 ↗
This operation took 70 minutes.
clinical9:57 ↗
The child was left without a nasogastric tube and started stooling the morning following surgery.
clinical10:00 ↗
The patient was started on feeds less than 24 hours after the procedure.
clinical10:07 ↗
The anastomosis is calibrated with a 12 Hegar dilator at the end of the procedure.
clinical10:36 ↗
Gauze packing is placed in the anus at the end of the procedure.
clinical10:45 ↗
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