New techniques are constantly being developed using proven strategies from other established MIS (Minimally Invasive Surgery) procedures. We continue to work with producers of surgical instruments (including robotics) to help invent new tools and improve old ones in order to make them safer and more reliable. In this way, more and more problems become amenable to an MIS solution.

A minimally invasive approach exists for many, if not most, procedures. Absolute bars to an minimally invasive surgery approach may include excision of very large tumors such as neuroblastoma or presence of scar tissue that precludes safe access to the chest or abdomen. However, even in cases of severe internal scarring, an MIS approach may be possible and even preferable.

Below is a partial list of conditions and minimally invasive surgery procedures offered by Wesley Pediatric Specialists. Those that are highlighted have links to online procedure videos:

  • Adhesiolysis
  • Anti-reflux
  • Appendectomy
  • Bronchogenic cyst
  • Gallbladder Removal
  • Crohn's, bowel resection
  • Cystic adenomatoid malformation (CCAM)
  • Diaphragmatic hernia
  • Duodenal atresia
  • Duodenal duplication
  • Empyema
  • Esophageal duplication
  • Fallopian tube cyst
  • Nissen Fundoplication (used to treat GERD/reflux)
  • Hernia repair (umbilical, inguinal, epigastric, hiatal)
  • Hirschprungs
  • Imperforate anus
  • Intussusception
  • Ladd's procedure for malrotation
  • Lung biopsy
  • Meckel's diverticulum
  • Ovarian cyst/choledochal cyst Repair
  • Ovarian torsion
  • Pancreatic pseudocyst
  • Pectus Carinatum (Dynamic Compression Brace)
  • Pectus Excavatum (Nuss Procedure)
  • Pulmonary sequestration
  • Pyloric stenosis
  • Splenectomy and splenic cystectomy
  • Tracheo-esophageal fistula
  • Ulcerative colitis
  • Urachal remnant

Because not every patient with a surgical problem will be a candidate for minimally invasive surgery, it is important to discuss your child’s options with a surgeon to determine the best approach.


As an expert pediatric care team, we are guided by our core principles of collaborative, excellent and compassionate care. At Wesley Pediatric Specialists, our hands-on practice philosophy is to provide family-centered care and hope for children with blood disorders or cancer.

Access to a full network of pediatric care

We offer modern diagnostic technology and surgical techniques to ensure our pediatric patients receive the best hematology and oncology treatment.

Additionally, as members of the Children’s Oncology Group, we have access to an even broader network of specialists, treatments and technologies, as well as pediatric oncology clinical research trials to help advance the fight against childhood cancers.