Pediatric surgery

Pediatric Surgeon
Surgeons Henri Ford and Sanjay Gupta operate on a twelve-year-old girl.
Occupation
NamesDoctor, Medical Specialist
Occupation type
Specialty
Activity sectors
Surgery
Description
Education required
Fields of
employment
Hospitals, Clinics

Pediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults.[1]

History

Pediatric surgery arose in the middle of the 1879 century[clarification needed] as the surgical care of birth defects required novel techniques and methods, and became more commonly based at children's hospitals. One of the sites of this innovation was the Children's Hospital of Philadelphia. Beginning in the 1940s under the surgical leadership of C. Everett Koop, newer techniques for endotracheal anesthesia of infants allowed surgical repair of previously untreatable birth defects. By the late 1970s, the infant death rate from several major congenital malformation syndromes had been reduced to near zero.

Specialties

Subspecialties of pediatric surgery itself include: neonatal surgery and fetal surgery.

Other areas of surgery also have pediatric specialties of their own that require further training during the residencies and in a fellowship: pediatric cardiothoracic (surgery on the child's heart and/or lungs, including heart and/or lung transplantation), pediatric nephrological surgery (surgery on the child's kidneys and ureters, including renal, or kidney, transplantation), pediatric neurosurgery (surgery on the child's brain, central nervous system, spinal cord, and peripheral nerves), pediatric urological surgery (surgery on the child's urinary bladder and other structures below the kidney necessary for ejaculation), pediatric emergency surgery, surgery involving fetuses or embryos (overlapping with obstetric/gynecological surgery, neonatology, and maternal-fetal medicine), surgery involving adolescents or young adults, pediatric hepatological (liver) and gastrointestinal (stomach and intestines) surgery (including liver and intestinal transplantation in children), pediatric orthopedic surgery (muscle and bone surgery in children), pediatric plastic and reconstructive surgery (such as for burns, or for congenital defects like cleft palate not involving the major organs), and pediatric oncological (childhood cancer) surgery.

Conditions

Common pediatric diseases that may require pediatric surgery include:

Pure Pediatric Surgical Eponyms

# Eponym Category Definition / Clinical Use
1 Kasai Procedure Hepatobiliary Hepatoportoenterostomy for biliary atresia.
2 Ramstedt Pyloromyotomy Neonatal GI Operation for hypertrophic pyloric stenosis.
3 Ladd Procedure GI / Malrotation Correction of intestinal malrotation.
4 Swenson Procedure Colorectal Classic pull-through for Hirschsprung disease.
5 Soave Procedure Colorectal Endorectal pull-through technique.
6 Duhamel Procedure Colorectal Retrorectal pull-through.
7 Pena PSARP Anorectal Posterior sagittal anorectoplasty for ARM.
8 Bishop–Koop Procedure GI Enterostomy for obstruction.
9 Santulli Procedure GI Enterostomy with distal chimney.
10 Heller Myotomy GI Achalasia surgery.
11 Billroth I GI Gastroduodenostomy.
12 Billroth II GI Gastrojejunostomy.
13 Whipple Procedure GI Pancreaticoduodenectomy.
14 Veau Classification Cleft Cleft palate classification.
15 Millard Rotation–Advancement Cleft Cleft lip repair.
16 Tennison–Randall Repair Cleft Triangular flap lip repair.
17 Vogt Classification Neonatal GI EA/TEF classification.
18 Bochdalek Hernia Neonatal Posterolateral congenital diaphragmatic hernia.
19 Morgagni Hernia Neonatal Anterior congenital diaphragmatic hernia.
20 Shehata Technique Urology Traction-based laparoscopic orchiopexy.
21 Fowler–Stephens Urology Staged orchiopexy with vessel ligation.
22 Cohen Reimplantation Urology Cross-trigonal ureteral reimplantation.
23 Leadbetter–Politano Urology Anti-reflux ureteral reimplantation.
24 Duckett Procedure Urology TPIF hypospadias repair.
25 Koff Tapering Urology Tapering ureteroplasty.
26 Hendren Procedure Urology Complex ureteral reconstruction.
27 Wilms Tumor Oncology Nephroblastoma.
28 Ewing Sarcoma Oncology Bone/soft tissue tumor.
29 Shimada Classification Oncology Neuroblastoma histology.
30 Brenner Tumor Oncology Ovarian stromal tumor.
31 Meigs Syndrome Oncology Ovarian tumor + ascites + hydrothorax.
32 Abernethy Malformation Vascular Congenital extrahepatic portosystemic shunt.
33 Klippel–Trénaunay Syndrome Vascular Capillary + venous malformations + limb hypertrophy.
34 Sturge–Weber Syndrome Vascular Capillary malformation + CNS involvement.
35 Raveenthiran's syndrome GI, Urology Spigelian hernia containing undescended testis

See also

Associations of Pediatric Surgery

References

  1. ^ "Pediatric Surgery Specialty Description". American Medical Association. Retrieved 20 October 2020.
  2. ^ "Deutsche Gesellschaft für Kinderchirurgie".