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There are relatively few disadvantages to MIS methods as long as the surgeon is experienced in them. More surgeons are being trained in these methods and it is becoming a routine part of training in many centers. In rare cases, the operation will not be able to be finished laparoscopically, due to unusual anatomy, bleeding or complications from the procedure. In these cases the operation will nearly always be finished by traditional methods of "open" surgery with an incision.
However, there are many procedures which MIS is not appropriate for. Technical limitations of MIS equipment -- such as lack of dexterity of the tools -- make it unsuitable for many pediatric procedures.
The overall safety of MIS techniques appears to be equivalent to open surgery in both children and adults. As with all surgery, the experience of the surgeon and the center where it is being performed is very important to the outcome of the operation.
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