July 31, 2010      


Surgical Management of Arthritis



Pediatric surgery is, as is evident from the term, all surgical procedures applicable to fetuses, infants, kids, teenagers and young adults.

DISEASES THAT REQUIRE PEDIATRIC SURGERY

Some of the common ailments among kids that may require surgical intervention can be grouped under the following broad categories:

Congenital Deformity




This includes lymphangioma, cleft lip and palate, esophageal atresia and tracheoesophageal fistula, hypertrophic pyloric stenosis, intestinal atresia, necrotizing enterocolitis, meconium plugs, Hirschsprung’s disease, imperforate anus and undescended testes.

Abdominal Wall Defects

This includes omphalocele, gastroschisis and hernias.

Chest Wall Malformations

This includes pectus excavatum.

Pediatric Tumors

This includes neuroblastoma, Wilms’ tumor, rhabdomyosarcoma, ATRT, liver tumors and teratomas.

HISTORY OF PEDIATRIC SURGERY

Pediatric surgery was first conducted in the middle of the 20th century at the Children's Hospital of Philadelphia. It was conducted under the leadership of surgical pioneer C. Everett Koop. It was made possible with more advanced developments in endotracheal anesthesia of infants, which made such surgical cure of birth defects a reality. In fact, by the late 1970s, it almost wiped out the mortality rate of infants due to such congenital causes.

TYPES OF PEDIATRIC SURGERY

There are two types of pediatric surgery:

  1. Neo-natal surgery
  2. Fetal surgery

WHERE IS A PEDIATRIC SURGERY PERFORMED?

Though pediatric surgeries can be performed in a general hospital, there are specialized children's hospitals as well. Here all doctors are trained pediatricians whether they are pediatric surgeons, pediatric anesthesiologists or pediatric radiologists. It also has nurses specialized in pediatrics and units that cater to specific pediatric needs like minimal access surgery, pediatric accident care, pediatric diet management etc.

WHO PERFORMS A PEDIATRIC SURGERY?

Obviously a pediatric surgeon conducts a pediatric surgery. A pediatric surgeon specializes in childcare. A pediatric surgeon must have the following qualifications:

Postgraduate in general surgery residency (medicine)
Accredited fellowship training in pediatric surgery with a subspecialty certification.
   

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