Patient: Traditional or laparoscopic surgery for syringomyelia? He was diagnosed with syringomyelia by the surgery department 2 months ago and was given an admission order. Half a month ago, he was admitted to the Department of Surgery IV. The night before preparing for surgery, the child vomited and had diarrhea, and was discharged first on the advice of the attending physician. After the physician talk, the need to choose the syringomyelia surgery option? I signed up for laparoscopy at that time, I don’t know which surgical procedure Dr. Ma prefers, and does general anesthesia with a breathing tube affect the pediatric patient much? When I was discharged from the hospital, the nurse at Wai IV said to come directly to the hospital for the next admission. I would like to know if I can change my attending doctor to Dr. Masterson for readmission, and if so, how to proceed? Patient: I saw that Dr. Ma has a very good rating online and a high response rate to his postings. I don’t know which method of surgery you generally prefer, and whether general anesthesia with a breathing tube has a greater impact on the pediatric population than traditional surgery. When I was discharged from the hospital, the nurse in the outer 4 said to come directly to the hospital for the next admission. I would like to know if I can change my attending doctor to Dr. Masterson when I am readmitted, and if so, how to proceed? Patient: Thank you, Dr. Ma. I also heard that I could explore the opposite side for the same condition at the same time, so I chose to do so. But my classmate who is a doctor said: laparoscopy requires general anesthesia for fear that it is not good for the intellectual development of the child, and there are three holes about 1.5 cm/one, and relatively speaking, nowadays the surgery is mostly done with transverse incision, which is only 2-3 cm. That’s why there are concerns about the above issues Ma Xiaopeng: pediatric surgery even without laparoscopy still requires general anesthesia, but laparoscopic surgery requires general anesthesia tracheal intubation, general anesthesia tracheal intubation to better ensure the safety of the child in surgery. Your classmate who is a doctor somehow has such an understanding of general anesthesia? Modern medicine has long confirmed that general anesthesia has no effect on a child’s brain intelligence or growth and development. On the contrary, the fear of using local anesthesia in pediatric surgery is really harmful to the child’s psychology, so sometimes in foreign countries, pediatric tooth extraction is done under general anesthesia, which is very safe and not to worry. Regarding the wound issue, many people always think that three incisions together are longer than one incision, so what is the meaning of minimally invasive? In fact, the concept of minimally invasive is not the size of the wound, but the size of the loss to the child from the surgery itself. The traditional pediatric hernia surgery involves making a small incision in the groin along the skin line, then raising the entire spermatic vessels, vas deferens and hernia sac outside the external ring opening to the outside of the incision, freeing the hernia sac to transect it, and ligating the hernia sac at a high level, while avoiding damage to the vas deferens and spermatic vessels. There are two disadvantages of this procedure: 1. The vas deferens and the vas deferens are easily damaged during the operation. 2. The scrotum may swell after surgery. Laparoscopic surgery is a fiber optic mirror that can transmit the image seen to the monitor and can be magnified, which can completely avoid damaging the vas deferens and spermatic vessels during surgery and is much clearer than traditional surgery. And it is the ligation of the inner ring opening, which is the highest ligation, so the chance of recurrence is much smaller than that of traditional surgery. There is no swelling of the scrotum after surgery and recovery is quick. Because each wound is small and only glued with medical glue, the wound is aesthetically pleasing and almost invisible later. Another advantage of minimally invasive laparoscopic surgery, which cannot be replaced by traditional surgery, is that it allows simultaneous exploration of the contralateral side for potential sphincter non-closure as well, and simultaneous surgery.