Pediatric
Surgery is the branch dealing with the diagnosis and treatment of surgical
diseases of children from any age group from birth to adolescence. While the
surgical diseases seen among children are similar to those seen among adults,
they differ from adult diseases in the ways the diseases occur, their causes,
symptoms, diagnoses, surgical procedures for the diseases, and post-operative
care.
Children
are not scale-down models of adults. They have their own anatomical, metabolic,
and physiological characteristics. Their body tissues are more sensitive than
that of adults. Surgical instruments used in pediatric surgeries aren’t the
same as those used in adult surgeries. Furthermore, anesthetic procedures for
children differ from those for adults. Subsequently, it is appropriate that pediatric
surgery is performed by specially trained experienced pediatric surgeons who
have received education exclusively about pediatric surgical diseases.
Congenital
anomalies, congenital obstruction of the esophagus, stomach, and small or large
intestine; conditions where some part of, or the whole of the intestines or the
liver is outside of the abdomen; bladder exstrophy, the fusion of fingers and
hands, absence of some fingers, or having more fingers than normal.
Esophageal Atresia: Blocked
esophagus. Shortness of breath following birth, foaming at the mouth, vomiting.
Anal Atresia: Congenital
imperforate anus, inability to defecate.
Thoracic
Surgery: Diseases
requiring a surgical intervention of the chest cavity and lungs.
Diaphragmatic
Hernia: When the
intestines protrude through an opening in the wall which separates the abdomen
and the chest.
Gastroesophageal
Reflux: A
condition in which stomach contents flow backward into the esophagus. Vomiting
and wheezing in babies.
Inguinal
Hernia: Swelling
of the groin area or the scrotum.
Umbilical
Hernia: Swelling
of the belly button.
Omphalocele
and Gastroschisis: Congenital
abdominal wall anomalies, intestines outside of the abdomen.
Phimosis: A tightening of
the foreskin of the penis requiring circumcision.
Buried
Penis: A
condition in which the penis is hidden beneath the fat tissue, especially in
overweight children.
Undescended
Testicle: A condition where one testicle or both testicles do not descend into the
scrotum.
Retractile
Testicle: The testicle descends into the scrotum but
occasionally ascends.
Hydrocele: Fluid-filled
cysts in the scrotum or groin, accumulation of fluids around the testicles, widely
known as water hernia.
Labial
Fusion: A
condition seen in girls where the genital area is sealed together.
Testicular
Torsion or Orchitis: Painful
swelling and redness of the scrotum.
Hypospadias: A condition in
which the opening of the urethra is on the underside of the penis, not the tip.
Vesicoureteral Reflux: Backward
flow of urine from the bladder up to the kidneys.
Congenital
Abnormalities of the Kidney: Kidney
outlet obstruction, duplex kidney.
Trauma: Emergency
or later intervention in situations requiring surgical treatment, such as
in-car or out-of-vehicle pedestrian traffic accidents, high falls, bumps, stab
wounds and gunshot wounds, etc.
Torticollis: Wryneck, recurrent
fluid-filled painful or painless swelling in the neck.
Foreign
Object Ingestion: Ingestion
of a foreign object in the esophagus, stomach, intestines, or trachea.
Urinary
and Fecal Incontinence: Inability to urinate or defecate
properly, bloody stool.
Constipation: Anal fissures,
polyps, hemorrhoids or bleeding.
Appendicitis: All
intra-abdominal infections and intestinal obstructions, particularly
appendicitis, which can be congenital or acquired, and reveal themselves with symptoms
including ongoing or recurrent abdominal pain, fever, nausea, and vomiting.
Childhood
Tumors: Benign
childhood tumors and cancers which may appear as cysts, particularly in organs
such as the liver, spleen, kidneys, adrenal glands, stomach, intestines, and
bladder.
Hemangioma: Skin lesions
(strawberry angioma vascular tumors)