Abdominal & Abdominal Wall Surgery
The primary function of most intra-abdominal organs is digestion and they are contained within a muscular enclosure known as the abdominal wall. Either the internal organs or the abdominal wall may be defective at the time of birth and require urgent operative repair.
Defects in the digestive system most often take the form of either blockages, which are repaired, or improper tissue development requiring removal. A defect in the abdominal wall is generally a hernia—an abnormal opening—which allows the abdominal organs to protrude; such openings must be closed surgically.
Some abnormalities of the internal organs or of the abdominal wall, whether present at birth or developing later, may become apparent only when the child is older. Few abnormalities of either the internal organs or of the abdominal wall, whether discovered at birth or later in childhood, are unable to be managed surgically by the surgeons in our practice.
- Hernia repair – including umbilical, inguinal, incisional/ventral, and esophageal
- Surgical management of inflammatory bowel disease
- Congenital defects of the abdominal wall
- Gastro esophageal reflux disease
- Malrotation/Ladd procedure
- Appendicostomy, cecostomy, ACE procedure
- Surgical treatment of Hirschsprung’s disease (Soave pull-through)
- Bowel obstruction
- Intestinal atresias/duodenal atresia
Head & Neck Surgery
When surgeons specialize, it is generally on the basis of either an area or a system of the body. Pediatric surgeons, however, specialize uniquely on the basis of the patient’s age and are consequently able to address all but the most challenging conditions in many body areas and systems, including the head and particularly the neck. Always wanting the best care for our patients, if the complexity of a child’s condition exceeds our expertise, we will always refer him or her to a surgeon we know to be proficient.
- Frenulectomy (tongue-tied)
- Branchial Cleft
- Thyroglossal Duct Cyst
- Lymph Node Biopsies
Thoracic (Chest & Chest wall) Surgery
The intrathoracic organs are primarily related to respiration, blood circulation, and digestion. They are contained within the chest wall, which includes the ribs. Other than defects of the heart itself, the pediatric surgeons in our group are well-trained to deal with defects of the intrathoracic organs or of the chest wall, whether they are present at the time of birth or appear first later.
- Brace therapy for pectus carinatum
- Pectus excavatum
- Pectus carinatum
- Patent ductus arteriosis (PDA)
- Breast mass
- Thoracoscopy (VATS)
- Surgery of the esophagus, liver, spleen and adrenal glands
Skin & Soft Tissue Surgery
The skin and soft tissue are the body’s interface with the outside world and the most commonly injured area of the body. Consequently the removal of abnormal growths from and the treatment of injuries of the skin and soft tissues are some of the most frequent surgical procedures a pediatric surgeon performs. Always wanting the best care for our patients, if the complexity of a child’s condition exceeds our expertise, we will always refer him or her to a surgeon we know to be proficient.
- Foreign body removal
- Incision and drainage of abscess (I&D)
- Placement and removal of Mediports
Most surgical conditions involving the male and female genitalia, both internal and external, are commonly managed by pediatric surgeons, including all members of our group. As always, if the complexity of a child’s condition exceeds our expertise, we will refer him or her to a surgeon we know to be proficient.
- Testicular torsion
- Scrotal or inguinal problems, such as undescended testicle and hydrocele/hernia/
Laparoscopic (Minimally Invasive) Surgery
The surgical field was revolutionized about 25 years ago by the introduction of minimally invasive surgery—surgery performed through small incisions allowing quicker recovery with less discomfort and hospitalization but with the same or even greater safety.
Each of us has a great deal of experience in minimally invasive laparoscopic (abdominal) and thoracoscopic (chest) procedures; some members of the group have been innovators in certain minimally invasive procedures.
We limit our use of minimally invasive procedures to those that have become standard and with which we are proficient; we do not attempt risky or ‘experimental’ procedures.
A generation ago, parents first learned that their newborn child had a birth defect at the time of the child’s birth. Because of the development of imaging and other techniques, it is rare these days for parents of a child with a birth defect not to know of the condition well before the delivery. Referral to one of our pediatric surgeons for prenatal counseling allows the parents time to learn about their child’s condition and to prepare both intellectually and emotionally for the child’s birth and impending treatment.
We provide prenatal counseling for the following conditions:
- Congenital lung lesions (CPAMs and sequestrations)
- Abdominal wall defects (Gastroschisis and omphalocele)
- Cystic and solid intra-abdominal masses
- Intestinal atresias and obstruction (Duodenal atresia)
- Dilated or echogenic bowel (Meconium ileus)
- Esophageal atresia
- Sacrococcygeal teratoma (SCT)
Many of the procedures carried out by pediatric surgeons are the same as those performed by other general surgeons—just in the pediatric age group. But the correction of birth defects, which generally involve the abdomen or chest, is a field of surgery unique to pediatric surgeons, who have devoted their time and talents to helping newborn children heal and live lives that are as normal as possible.
- Intestinal atresias/ duodenal atresia
- Sacrococcygeal teratoma (SCT)
- Esophageal atresia
- Tracheoesophageal fistula
- Congenital diaphragmatic hernia (CDH)
- Imperforate anus (Peña pull-through)