Pediatric Surgery is broad surgical super-specialty which deals with all the surgical diseases pertaining to all the organ systems in a fetus, newborn, child and adolescent; i.e. Antenatal to adolescence or 0- 18 years. It is the only surgical specialty which is ‘age specific’ rather than organ ‘system specific’ specialty like most others which are usually restricted to adult age group. Pediatric Surgery is Pan-systemic and age specific includes
Pediatric Surgical Spectrum Includes Antenatal counseling for Congenital Malformations. Neonatal Surgery- All congenital Malformations pertaining to all systems. Pediatric General Surgery-All swellings, Hernias hydrocele Thyroid breast. Pediatric Neurosurgery-Hydrocephalus, meningomyelocele. Pediatric Non-cardiac Surgery-Empyemas, Lung masses, lung cysts, Mediatinal cysts. Pediatric
Gastrointestinal
Surgery-Intestinal
atresias,
intestinal
obstruction, Acute abdomens, Duplication cyst, Mesenteric Cyst, Anorectal Malformaztions. Pediatric
Urology-Hypospadias, Epispadias, undescended testis,
Hydronephrosis, ureteroceles. Pediatric Plastic Surgeries- Cleft lip, Cleft palate, Excision repairs, grafting. Pediatric Endocrine Surgery-Breast, Thyroid, Pancreas, Adrenals. Pediatric Vascular Surgery-Spleno renal shunt for Portal Hypertension. Pediatric Trauma.
Antenatal Counseling Detection of fetal anomalies by TIFFA scan or fetal MRI should be immediately referred to a pediatric surgeon for Antenatal counseling regarding the malformation, timing of delivery (?lung maturity), birth process complications (Hydrocephalus, fetal mass) there by optimizing feto- maternal outcome In Minor Anomalies- Non significant/Surgically correctable-alleviate parental anxiety and advise FTNVD-followed by Postnatal surgical correction. Major Anomalies-Surgically correctable but with disability- Parental choice/MTP/IL Complex-Multisystemic with feto-maternal life risk-MTP/IL Incompatible- most abort spontaneously/MTP