Laparoscopic Surgery of Paediatric Age Group at TMSS Medical College Influenced by Watching Real-Time Surgery in Televu Assisted Technology

Abstract

Background: Laparoscopic surgery offers substantial advantages in paediatric patients by minimising invasiveness, reducing postoperative pain and accelerating recovery. Aim: To assess the safety and efficacy of paediatric laparoscopic surgery at TMSS Medical College when influenced by observing real-time procedures via Televu-Assisted Technology. Methods: We conducted a retrospective analysis of 30 paediatric laparoscopic cases performed between June 2024 and January 2025. All operating surgeons had watched relevant procedures in real time via Televu within six months prior to each operation. Patient demographics, procedure types, operative times, length of hospital stay, and postoperative complications were recorded. Results: Thirty consecutive paediatric patients (16 males, 14 females; age range 3–12 years) underwent laparoscopic surgery without conversion to open technique. Procedures included appendicectomies (n = 12, 40 %), hernia repairs (n = 8, 26.7 %), orchiopexies (n = 6, 20 %) and cholecystectomies (n = 4, 13.3 %). Four patients (13.3 %) experienced minor complications: two with minor bleeding (6.7 %), one with minor bowel injury (3.3 %) and one with superficial wound infection (3.3 %). Prolonged operative time (> 60 minutes) was independently associated with an increased risk of complications (adjusted OR 3.12; 95 % CI: 1.28–7.65; p = 0.015). Conclusion: Paediatric laparoscopic surgery at TMSS Medical College, influenced by observing live Televu feeds, proved safe and effective despite the absence of real-time operative guidance.