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. 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 The cystoscope is then withdrawn, the saline drained and bladder insufflated with carbon dioxide at 8-10 cm H2O to create the working space. Two lateral 5(or 3)mm operative ports are then inserted under visual guidance for performance of surgery.
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