introduction to pediatric surgery
TRANSCRIPT
Introduction to Pediatric Surgery
Paisarn Vejchapipat MD, PhD
Division of Pediatric SurgeryDepartment of Surgery, Faculty of Medicine
Chulalongkorn University
Pediatric Surgical Training in Thailand
[email protected] routes– 4 year training (1 Gen Sx + 3 Ped Sx)– 6 year training (4 Gen Sx + 2 Ped Sx)
Six institutions with maximum of 13 positions per year– Chulalongkorn hospital: 2– Siriraj’s hospital: 3– Ramathibodi’s hospital: 2– Children Hospital: 4– Khonkaen Hospital: 1– Songkla Hospital: 1
Pediatric Surgeons at Chula
อ. ดุสิต
อ. ไพศาล อ. ประภาพรรณ
อ. สมบูรณ์อ. สุทธิพร
อ. กตเวที
Activity in Pediatric SurgeryMonday– 9.30 -12.00: OPD (Dr Katawaetee)– 13.00-14.00: Lecture– 14.00-16.00: Seminar (Dr Paisarn)
Tuesday– 9.30-12.00: OPD (Dr Prapapan)– 13.00-14.00: Lecture– 14.00-16.00 Seminar (Dr Prapapan)
Wednesday OR
Thursday– 9.30-12.00 OPD (Dr Soomboon)– 13.00-15.00: Seminar
(Dr Soomboon, Katawaetee)
Friday OR
How to learn pediatric surgery:Undergrad level at Chula
Basic Pediatric Surgery Book (Chula)
Surgery Textbook (Chula’s)
Chula CAI– Hypertext– Atlas of Pediatric Surgery– Multiple choice tests
Pediatric Surgery Museum
Contents in Pediatric Surgery
Basic Knowledge
Head & Neck lesions
Diaphragm and lungs
GIT neonates
GIT infants & children
Biliary tract diseases
Abdominal wall defects
Inguinal & genitalia
Tumors
Trauma
Basic Knowledge
Neonatal physiology
NPO time, Nutrition, IV fluids
Pre-op assessment
Day case surgery
Head & Neck lesions
Cervical lymphadenopathy
Thyroglossal duct cyst
Branchial cleft anomalies
Torticollis
Diaphragm and Lungs
Congenital diaphragmatic hernia
Eventration of diaphragm
Congenital pulmonary airway malformation CCAM Lung sequestration Congenital lobar emphysema
GIT neonatesGut obstructionInfantile hypertrophic pyloric stenosisIntestinal atresia– Duodenal atresia– Jejuno-ileal atresia
Malrotation with midgut volvulusNECMeconium ileusHirschsprung’s diseaseAnorectal malformation
GIT infants & childrenAbdominal painGI bleedingGERIntussusceptionAppendicitisSegmental enteritisMeckel’s diverticulumGI duplicationEtc.
Biliary tract diseases
Biliary atresia
Choledochal cyst
Gallstones
Abdominal Wall Defect
Umbilical anomalies– Weeping umbilicus– Umbilical hernia
GastroschisisOmphalocele
Inguinal and genitaliaHernia
Hydrocele
Undescended testis
Torsion of testis
Phimosis
Hypospadias
Buried penis
Tumors
Organomegaly, hydronephrosis
Tumors– Neuroblastoma– Wilms tumor– Hepatoblastoma– Rhabdomyosarcoma– Teratoma
Trauma
Anatomy and physiology differences
Weight and airway calculation
IV resuscitation
Child abuse
