Pediatric Surgery Kurt P' Schropp, M'D'

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Pediatric SurgeryKurt P. Schropp, M.D.

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"PEDIATRIC SURGERY"
Encompasses a spectrum of patients

• Neonatal Problems

Adolescents, Trauma
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"FAMILY"

• ALWAYS an integral part in the care of the
  Pediatric Surgical patient

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"The ability to DO an operation does not always
substantiate its wisdom"
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Unique anatomic and physiologic characteristics
of pediatric patients

• Airway Smaller mild edema can cause major
• compromise, located more anteriorly harder to
  intubate
• 2. Vessels Small and fragile protect lines!!!
• 3. Immune system Immature
• 4. Metabolism Higher rate, less glycogen stored
• Different drug metabolism/excretion
• Dosages must be calculated based on body weight

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Surgical problems unique to children Pediatric
Surgery
Congenital Acquired
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Abdominal wall defects Anorectal malformations
Biliary atresia Diaphragmatic hernia Duodenal
obstruction EA/TEF Hirschsprung's Disease
Hernia/hydrocele Intestinal atresia/duplications
Lymphatic/vascular disorders Malrotation /-
volvulus Meconium ileus Pulmonary lesions
Congenital
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NEC Pyloric stenosis Intussusception
Tumors Trauma
Acquired
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Abdominal wall defects
Umbilical hernia Omphalocele Gastroschisis
Exstrophy of cloaca Exstrophy of bladder
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Spring Loaded Silo
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Omphaloceleescharotic RX
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Omphalocele--Hernia
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Anorectal malformations
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Imperforate Anus
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CDH

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EA / TEF

DIAGNOSIS

Often made by nurses
Baby with excessive secretions

Cant pass NG tube
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VACTERL
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Vertebral
Anorectal
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C
Cardiac
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TE Fistula

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R
Renal
Limbs
L
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Hirschsprung's Disease
Absence of intramural ganglion cells in
submucosal and intramuscular nerve plexuses
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Malrotation and Volvulus
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HPS

Operative treatment is not an emergency, but
starting the resuscitation is
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Intussusception

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