Pediatric surgery (sometimes spelt paediatric surgery) is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults. Many pediatric surgeons practice at children's hospitals.

Pediatric surgeons have completed a general surgery residency (medicine), then complete two more years of subspecialty fellowship training before they are eligible to take the board examination for official subspecialty certification. In the United States and Canada, approximately 35 surgeons complete training as pediatric surgeons each year.

Pediatric surgery arose in the middle of the 20th century 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 Children's Hospital of Philadelphia. Beginning in the 1940s under the surgical leadershp 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.

More on [ Pediatric surgery ]

All Pediatric Surgery Jobs

Close to Orlando and Tampa's attractions, enjoy a fantastic combination of one of Florida's best beaches coupled with modern upscale lifestyle. :: Florida :: Candidate Direct Physician Staffing
Pediatric Surgeon Jobs - Florida Physician Job Type: Permanent in FL Start: Immediate Opening Shift: To be disussed during interview Salary: Pediatric surgeon job at hospital owned group provides
With a population of 200,975 this service area is home to the fifth largest city in the entire Pacific Northwest. :: Washington :: Candidate Direct Physician Staffing
Pediatric Surgeon Jobs - Washington Physician Job Type: Permanent Start: Immediate Opening Shift: Details not available Salary: This pediatric surgeon job offers salary based compensation with
Great Location :: Wisconsin :: Onyx M.D.
A Pediatric General Surgeon is needed in Wisconsin to start ASAP. This gig is bread and butter Pediatric General Surgery. The schedule is Monday through Friday 8am to 5pm, with night and weekend call.

Pediatric surgery - Google News

Call to suspend surgeon - The Age
Call to suspend surgeonThe AgeHIGH-PROFILE pediatric surgeon Paddy Dewan could be banned from practising for up to 18 months, a tribunal has heard. A lawyer assisting the Medical ...
Teen gymnast who broke neck bouncing back - WFAA
Teen gymnast who broke neck bouncing backWFAA... over on her stomach and operated from the back, putting in six screws and two rods," said Dr. Richard Roberts, a pediatric surgeon at Cook Children's. ...and more »
Robot-Assisted Surgery Unproven in Children - MedPage Today
Robot-Assisted Surgery Unproven in ChildrenMedPage TodayNote that robot-assisted pediatric surgery appears to shorten hospital stays and reduce pain in some cases. Robot-assisted surgery is safe for a number of ...
'Grey's Anatomy': Jessica Capshaw shines as Arizona Robbins - Los Angeles Times
E! Online'Grey's Anatomy': Jessica Capshaw shines as Arizona RobbinsLos Angeles TimesShe began her rounds by warning her residents that pediatric surgery wasn't just a miniature version of general surgery. "These are the tiny humans. ...Grey's Anatomy Recap: Invest in LoveCinema BlendGrey's Anatomy 6x08 'Invest In Love' recapExaminer.comGrey's Anatomy: Where the Magic HappensNew York Magazineall 41 news articles »
Insurance Coverage Status Affects Mortality Rate in Pediatric Trauma Patients - Reuters
Boston GlobeInsurance Coverage Status Affects Mortality Rate in Pediatric Trauma PatientsReutersThe article, "Lack of Insurance Negatively Affects Trauma Mortality in US Children," is published in the October issue of the Journal of Pediatric Surgery. ...Trauma Deadlier for Kids Without InsuranceU.S. News & World Reportall 46 news articles »
Baby Receives a Three-Organ Transplant - HealthNewsDigest.com
HealthNewsDigest.comBaby Receives a Three-Organ TransplantHealthNewsDigest.comThe program includes dedicated specialists in pediatric surgery and transplantation; pediatric gastrointestinal medicine and nutrition; advanced-practice ...and more »

pubmed: 1531-5037

Amyand's hernia in infancy: why laparoscopy?
Baldassarre E, Ferrero C, Da Costa Duarte D, Barone M, Prosperi Porta I Related Articles Amyand's hernia in infancy: why laparoscopy? J Pediatr Surg. 2009 Aug;44(8):1673-4 Authors: Baldassarre E, Ferrero C, Da Costa Duarte D, Barone M, Prosperi Porta I PMID: 19635331 [PubMed - indexed for MEDLINE]
Re: Thoracoscopic-assisted central line placement for a thrombosed superior vena cava.
Bax KN Related Articles Re: Thoracoscopic-assisted central line placement for a thrombosed superior vena cava. J Pediatr Surg. 2009 Aug;44(8):1672-3; author reply 1623 Authors: Bax KN PMID: 19635329 [PubMed - indexed for MEDLINE]
Early history of endoscopic correction of vesico-ureteric reflux: the Dublin contribution.
Guiney EJ, Fitzgerald RJ Related Articles Early history of endoscopic correction of vesico-ureteric reflux: the Dublin contribution. J Pediatr Surg. 2009 Aug;44(8):1672 Authors: Guiney EJ, Fitzgerald RJ PMID: 19635328 [PubMed - indexed for MEDLINE]
A selective sac extraction method: another minimally invasive procedure for inguinal hernia repair in children: a technical innovation with satisfactory surgical and cosmetic results.
Ikeda H, Hatanaka M, Suzuki M, Fujino J, Tahara K, Ishimaru Y Related Articles A selective sac extraction method: another minimally invasive procedure for inguinal hernia repair in children: a technical innovation with satisfactory surgical and cosmetic results. J Pediatr Surg. 2009 Aug;44(8):1666-71 Authors: Ikeda H, Hatanaka M, Suzuki M, Fujino J, Tahara K, Ishimaru Y PURPOSE: To achieve satisfactory surgical and cosmetic results with minimal surgical invasiveness without laparoscopic assistance in childhood inguinal hernia repair, a novel technique, the selective sac extraction method (SSEM), was devised. The technical feasibility of this method was retrospectively examined. METHODS: The method was applied to 162 consecutive hernia repairs in 153 patients, 79 boys and 74 girls, excluding patients with incarcerated or irreducible hernia, sliding hernia of the ovary (hernia with palpable ovary at repair), or hernia associated with an undescended testis. Hernia repair was performed by several young surgeons under the guidance of one teaching surgeon. RESULTS: Patients' ages ranged from 1 month to 12 years (median, 3 years), and their body weights ranged from 2.9 to 41 kg (median, 14.4 kg). The SSEM was accomplished in 149 (92%) of 162 repairs, and lengths of incision at the end of the procedure were less than 10 mm in all repairs. The success rate was 72 (88%) of 82 repairs in male patients and 77 (96%) of 80 repairs in female patients. In the remaining 13 (8%) repairs in 13 patients, 10 males and 3 females, the procedure was converted to a conventional open method by extending the incision to 10 mm or longer. The ages of the 13 patients ranged from 1 month to 8 years (median, 3 months), being significantly younger than patients whose repair was accomplished by the SSEM (P = .006). The reason for conversion in 9 repairs was a huge or thickened sac that could not be extracted from the small incision, of which 6 involved male infants younger than 11 months. Obesity (the body mass index was 22.2 and >97th percentile for the patient's age) and thick subcutaneous tissue characteristic of early infancy were also reasons, both of which hindered the approach to the inguinal canal. Other reasons included malpositioning of the skin incision and difficulty in sac identification. The lengths of incision at the end of the 162 repairs ranged from 4.5 to 13.0 mm (median, 7.0 mm). Those in female patients, 4.5 to 11.5 mm (median, 6.5 mm), were significantly shorter than in male patients, 5.0 to 13.0 mm (median, 7.5 mm) (P < .001). The median length of the operation was 25 minutes. A follow-up interview revealed that there was no hernia recurrence with a median follow-up time of 20 months (range, 12-29 months). No postoperative complications were reported by the parents. As for the parents' satisfaction with wound cosmesis, 93% of them rated it as good or excellent. CONCLUSIONS: Inguinal hernia repair with the SSEM through a minimal skin incision is technically feasible, with very satisfactory surgical and cosmetic results. As it has the potential to be a standard method for inguinal hernia repair in children, a prospective study to confirm the safety of the procedure should be carried out. PMID: 19635327 [PubMed - indexed for MEDLINE]
Flexor tendon repair in children with zone 2 injuries: an innovative technique using autogenous vein.
Mousavi SR, Mehdikhah Z, Tadayon N Related Articles Flexor tendon repair in children with zone 2 injuries: an innovative technique using autogenous vein. J Pediatr Surg. 2009 Aug;44(8):1662-5 Authors: Mousavi SR, Mehdikhah Z, Tadayon N OBJECTIVES: This is a new technique for tendon repair that may improve the results of existing methods. METHODS: The study is a nonrandomized retrospective study using historical (nonconcurrent) controls. From May 1994 to March 2004, 53 children aged 5 to 15 years requiring tendon repair (test group) were compared to 53 children conventionally repaired (control group). All patients had flexor tendon injuries, involving zone 2. In the test group (53 patients), a modified Kessler repairing of tendons with 4-0 prolene was used, followed by a core suture of running 7-0 nylon or prolene epitendinous suture. After the tendon repair, a segment of vein through which the tendon had been passed before or a vein patch used as a tendon sheath substitute was used to repair the sheath defects. The results during 6 months of follow-up were compared with those of the control group that were operated using the conventional technique (modified Kessler method). RESULTS: We assessed the results by measuring the range of motion of the metacarpophalangeal, distal interphalangeal, and proximal interphalangeal joints in the follow-up period and graded them as excellent, good, fair, and poor. In the test group, 86% were graded as excellent, 11% good, 3% fair, and 0% poor results; and in the control group, 0% were excellent, 12% good, 38% fair, and 50% poor results. The differences were significant (P < .005). CONCLUSIONS: Our preliminary results appeared encouraging when compared with the outcomes achieved by the conventional tendon repair technique. As the new technique decreases the need for intensive physiotherapy, it may serve as a substitute method for the conventional tendon repair and eventually become a standard technique in the future. PMID: 19635326 [PubMed - indexed for MEDLINE]
Infarction of an epiploic appendage in a pediatric patient.
Fraser JD, Aguayo P, Leys CM, St Peter SD, Ostlie DJ Related Articles Infarction of an epiploic appendage in a pediatric patient. J Pediatr Surg. 2009 Aug;44(8):1659-61 Authors: Fraser JD, Aguayo P, Leys CM, St Peter SD, Ostlie DJ Epiploic appendagitis or infarction of an epiploic appendage is an uncommon cause of abdominal pain in pediatric patients. Few cases have been reported. Diagnosis based on clinical examination alone is nearly impossible, and therefore, adjunctive radiographic measures are necessary to aid in the diagnosis, including ultrasound and computed tomography. We present the case of an 8-year-old boy whose diagnosis of epiploic infarction was suggested by computed tomography and was confirmed and treated via laparoscopy. PMID: 19635325 [PubMed - indexed for MEDLINE]

Subscribe to Pediatric RSS feed