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Pediatric Abdominal Surgery

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Pediatric Surgery

Abstract

Abdominal surgery occupies much of the spectrum of pediatric surgery and embraces correction of many types of congenital anomalies. It ranges from the very simple to the most highly complex surgery, especially when occurring in very young children with life-threatening anomalies. This chapter aims to provide information on complications, risks, and consequences on a wide range of pediatric abdominal surgery. For other associated surgical procedures, refer to the relevant chapter and volume.

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Notes

  1. 1.

    Embryology and Operative Anatomy

  2. 2.

    Operative Surgery

  3. 3.

    Gastroschisis and Omphalocele

  4. 4.

    Atresia and Gut Obstructions

  5. 5.

    Congenital Diaphragmatic Hernia

  6. 6.

    Hirschsprung’s and Anorectal Malformations

  7. 7.

    Fundoplications

  8. 8.

    Hernia Repair

  9. 9.

    Gastrotomy

  10. 10.

    Splenectomy

Further Reading, References, and Resources

General Reading

  • Ellis H. Clinical anatomy. 11th ed. Blackwell; Oxford, 2006.

    Google Scholar 

  • Jamieson GG, editor. The anatomy of general surgical operations. Edinburgh: Churchill- Livingstone Elsevier; 2006. ISBN 9780443100079.

    Google Scholar 

  • Moore KL. The developing human: clinically oriented embryology. 2nd ed. Philadelphia: WB Saunders; 1977. ISBN 0-7216-6471-7.

    Google Scholar 

  • Scott-Conner CEH, Dawson DL. Operative anatomy. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. ISBN 97807817653.

    Google Scholar 

  • Skandalakis LJ, Skandalakis JE, Skandalakis 3rd PN, editors. Surgical anatomy and technique: a pocket manual. 3rd ed. New York: Springer; 2009. ISBN 9780387095141.

    Google Scholar 

  • Ashcraft KW, Holcomb GW, Murphy JP, editors. Ashcraft’s pediatric surgery. 5th ed. Philadelphia: Saunders/Elsevier; 2009. ISBN 9781416061274.

    Google Scholar 

  • Caty MG. Complications in pediatric surgery. New York: Informa Healthcare; 2008. ISBN 9780824728366.

    Book  Google Scholar 

  • Grant HW, Chuturgoon AA, Kenoyer DG, Doorasamy T. The adaptive immune response to major surgery in the neonate. Pediatr Surg Int. 1997;12(7):490–3.

    Article  PubMed  CAS  Google Scholar 

  • Grosfeld JL, editor. Pediatric surgery. 6th ed. Philadelphia: Elsevier Science; 2006. ISBN 9780323028424.

    Google Scholar 

  • Harmon CM, Coran AG. Congenital anomalies of the esophagus, associated anomalies, Ch 62. In: O’Neill Jr JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Pediatric surgery. 5th ed. St Louis: Mosby Press; 1998. p. 945–6.

    Google Scholar 

  • Hutson JM, O’Brien M, Woodward AA, Beasley SW. Clinical paediatric surgery: diagnosis & management. 6th ed. Melbourne: Wiley-Blackwell; 2008. ISBN 978-1405162678.

    Book  Google Scholar 

  • O’Neill Jr JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Pediatric surgery. 5th ed. St Louis: Mosby Press; 1998.

    Google Scholar 

  • Spitz L, Coran AG, editors. Operative pediatric surgery. 6th ed. London: Hodder-Arnold; 2006.

    Google Scholar 

  • Puri P, editor. Newborn surgery. 2nd ed. London: Arnold; 2003. ISBN 9780340761441.

    Google Scholar 

  • Rowe MI. The newborn as a surgical patient, Ch 4. In: O’Neill Jr JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Pediatric surgery. 5th ed. St Louis: Mosby Press; 1998. p. 43–70.

    Google Scholar 

  • Stringer MD, Oldham KT, Moriguard PDE. Pediatric surgery and urology. 2nd ed. Cambridge: Cambridge University Press; 2006a. ISBN 9780521839020.

    Book  Google Scholar 

  • Stringer MD, Oldham KT, Mouriquand PDE. Pediatric surgery and urology: long-term outcomes. Cambridge: Cambridge University Press; 2006b.

    Book  Google Scholar 

  • Welch KJ, Randolph JG, Ravitch MM, et al., editors. Pediatric surgery. 5th ed. Chicago: Year Book Medical; 1998.

    Google Scholar 

More Specific Reading

  • van Eijck FC, Wijnen RM, van Goor HJ. The incidence and morbidity of adhesions after treatment of neonates with gastroschisis and omphalocele: a 30-year review. Pediatr Surg. 2008;43(3):479–83.

    Article  Google Scholar 

  • Albanese CT, Rowe MI. Necrotizing enterocolitis, Ch 87. In: O’Neill Jr JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Pediatric surgery. 5th ed. St Louis: Mosby Press; 1998. p. 1297–320.

    Google Scholar 

  • Boix-Ochoa J, Rowe MI. Gastroesophageal reflux, Ch 66. In: O’Neill Jr JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Pediatric surgery. 5th ed. St Louis: Mosby Press; 1998. p. 1007–17.

    Google Scholar 

  • Chacko J, Ford WDA, Haslam R. Neurological developmental outcome in very low birth weight infants after laparotomy. Pediatr Surg Int. 1999;15:496–9.

    Article  PubMed  CAS  Google Scholar 

  • Cole C, Freitas A, Clifton MS, Durham MM. Hereditary multiple intestinal atresias: 2 new cases and review of the literature. J Pediatr Surg. 2010;45(4):E21–4.

    Article  PubMed  Google Scholar 

  • Dalla Vecchia LK, Grosfeld JL, West KW, Rescorla FJ, Scherer LR, Engum SA. Intestinal atresia and stenosis: a 25-year experience with 277 cases. Arch Surg. 1998;133(5):490–6; discussion 496–7. Review.

    Google Scholar 

  • Efrati O, Nir J, Fraser D, Cohen-Cymberknoh M, Shoseyov D, Vilozni D, Modan-Moses D, Levy R, Szeinberg A, Kerem E, Rivlin J. Meconium ileus in patients with cystic fibrosis is not a risk factor for clinical deterioration and survival: the Israeli multicenter study. J Pediatr Gastroenterol Nutr. 2010;50(2):173–8.

    Article  PubMed  Google Scholar 

  • Federici S, Domenichelli V, Antonellini C, Dòmini R. Multiple intestinal atresia with apple peel syndrome: successful treatment by five end-to-end anastomoses, jejunostomy, and transanastomotic silicone stent. J Pediatr Surg. 2003;38(8):1250–2.

    Article  PubMed  CAS  Google Scholar 

  • Khong TY, Ford WDA, Haan EA. Umbilical cord ulceration in association with intestinal atresia in a child with deletion 13q and Hirschsprung’s disease. Arch Dis Child. 1994;71:F212–3.

    Article  CAS  Google Scholar 

  • Messina M, Molinaro F, Ferrara F, Messina G, Di Maggio G. Idiopathic spontaneous intestinal perforation: a distinct pathological entity in the preterm infant. Minerva Pediatr. 2009;61(4):355–60.

    PubMed  CAS  Google Scholar 

  • Murphy FL, Sparnon AL. Long-term complications following intestinal malrotation and the Ladd’s procedure: a 15 year review. Pediatr Surg Int. 2006;22(4):326–9.

    Article  PubMed  Google Scholar 

  • Ooi BC, Barnes GL, Tauro GP. Normalization of vitamin B12 absorption after ileal resection in children. J Paediatr Child Health. 1992;28(2):168–71.

    Article  PubMed  CAS  Google Scholar 

  • Pueyo C, Maldonado J, Royo Y, Skrabski R, Di Crosta I, Raventós A. Intrauterine intussusception: a rare cause of intestinal atresia. J Pediatr Surg. 2009;44(10):2028–30.

    Article  PubMed  Google Scholar 

  • Rausin L, Khamis J, Paquot JP, Langhendries JP. Obstruction of unusual origin in a small preterm baby-girl. J Belge Radiol. 1992;75(5):402–3.

    PubMed  CAS  Google Scholar 

  • Rescorla FJ. Meconium ileus, Ch 75. In: O’Neill Jr JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Pediatric surgery. 5th ed. St Louis: Mosby Press; 1998. p. 1159–72.

    Google Scholar 

  • Stringer MD, Oldham KT, Moriguard PDE. Pediatric surgery and urology. 2nd ed. Cambridge: Cambridge University Press; 2006. ISBN 9780521839020.

    Google Scholar 

  • Shah SR, Gittes GK, Barsness KA, Kane TD. Multimedia article. Thoracoscopic patch repair of a right-sided congenital diaphragmatic hernia in a neonate. Surg Endosc. 2009;23(1):215.

    Article  PubMed  Google Scholar 

  • Zwaveling S, van der Zee DC. Laparoscopic repair of an isolated congenital bilateral lumbar hernia in an infant. Eur J Pediatr Surg. 2012;22(4):321–3.

    Article  PubMed  Google Scholar 

  • Holschneider AM, Hutson JM. Anorectal malformations in children: embryology, diagnosis, surgical treatment, follow-up. Berlin: Springer; 2006. ISBN 9783540317500.

    Google Scholar 

  • Holschneider AM, Puri P. Hirschsprung’s disease and allied disorders. Dordrecht: Springer; 2007. ISBN 9783540339342.

    Google Scholar 

  • Ieiri S, Higashi M, Teshiba R, Saeki I, Esumi G, Akiyoshi J, Nakatsuji T, Taguchi T. Clinical features of Hirschsprung’s disease associated with Down syndrome: a 30-year retrospective nationwide survey in Japan. J Pediatr Surg. 2009;44(12):2347–51.

    Article  PubMed  Google Scholar 

  • Levitt MA, Peña A. Operative management of anomalies in female. In: Holschneider AM, Hutson J, editors. Anorectal malformations in children. Heidelberg: Springer; 2006a. p. 303–6.

    Google Scholar 

  • Levitt MA, Peña A. Treatment of cloacas. In: Holschneider AM, Hutson J, editors. Anorectal malformations in children. Heidelberg: Springer; 2006b. p. 307–14.

    Google Scholar 

  • Levitt MA, Pena A. Anorectal malformations. Rev Orphanet J Rare Dis. 2007; 2:33. doi:10.1186/1750-1172-2-33.

    Google Scholar 

  • Nievelstein RA, Vos A, Valk J. MR imaging of anorectal malformations and associated anomalies. Eur Radiol. 1998;8(4):573–81.

    Article  PubMed  CAS  Google Scholar 

  • Pena A, Levitt MA, Hong A, Midulla P. Surgical management of cloacal malformations: a review of 339 patients. J Pediatr Surg. 2004;39(3):470–9.

    Article  PubMed  Google Scholar 

  • Pena A, Migotto-Krieger M, Levitt MA. Colostomy in anorectal malformations: a procedure with serious but preventable complications. J Pediatr Surg. 2006;41(4):748–56. Discussion 748-56.

    Article  PubMed  Google Scholar 

  • Tei E, Yamataka A, Segawa O, Kobayashi H, Lane GJ, Tobayama S, Kameoka S, Miyano T. Laparoscopically assisted anorectovaginoplasty for selected types of female anorectal malformations. J Pediatr Surg. 2003;38(12):1770–4.

    Article  PubMed  Google Scholar 

  • Teitelbaum DH, Coran AG, Weitzman JJ, Ziegler MM, Kane T. Hirschsprung’s disease and related neuromuscular disorders of the intestine, Ch 94. In: O’Neill Jr JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors. Pediatric surgery. 5th ed. St Louis: Mosby Press; 1998. p. 1391–3.

    Google Scholar 

  • Barsness KA, St Peter SD, Holcomb 3rd GW, Ostlie DJ, Kane TD. Laparoscopic fundoplication after previous open abdominal operations in infants and children. J Laparoendosc Adv Surg Tech A. 2009;19 Suppl 1:S47–9. 2009 Apr.

    Article  PubMed  Google Scholar 

  • Lopez M, Kalfa N, Forgues D, Guibal MP, Galifer RB, Allal H. Laparoscopic redo fundoplication in children: failure causes and feasibility. J Pediatr Surg. 2008;43(10):1885–90.

    Article  PubMed  Google Scholar 

  • Mauritz FA, van Herwaarden-Lindeboom MY, Stomp W, Zwaveling S, Fischer K, Houwen RH, Siersema PD, van der Zee DC. The effects and efficacy of antireflux surgery in children with gastroesophageal reflux disease: a systematic review. J Gastrointest Surg. 2011;15(10):1872–8.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rothenberg SS, Chin A. Laparoscopic Collis-Nissen for recurrent severe reflux in pediatric patients with esophageal atresia and recurrent hiatal hernia. J Laparoendosc Adv Surg Tech. 2010;20:787–90.

    Article  Google Scholar 

  • Tovar JA, Luis AL, Encinas JL, Burgos L, Pederiva F, Martinez L, Olivares P. Pediatric surgeons and gastroesophageal reflux. J Pediatr Surg. 2007;42(2):277–83.

    Article  PubMed  Google Scholar 

  • Treef W, Schier F. Characteristics of laparoscopic inguinal hernia recurrences. Pediatr Surg Int. 2009;25(2):149–52.

    Article  PubMed  Google Scholar 

  • Fraser JD, Ponsky TA, Aguayo P, Boulanger S, Parry R, Nixdorf N, DiLuciano J, Smith P, Sharp SW, Holcomb GW, Ostlie DJ, St Peter SD. Short-term natural history of the standard approaches for gastrostomy tube placement in the pediatric patient. J Laparoendosc Adv Surg Tech A. 2009;19(4):567–9.

    Article  PubMed  CAS  Google Scholar 

  • Naiditch JA, Lautz T, Barsness KA. Postoperative complications in children undergoing gastrostomy tube placement. J Laparoendosc Adv Surg Tech. 2010;20:781–5.

    Article  Google Scholar 

  • Virnig DJ, Frech EJ, Delegge MH, Fang JC. Direct percutaneous endoscopic jejunostomy: a case series in pediatric patients. Gastrointest Endosc. 2008;67(6):984–7.

    Article  PubMed  Google Scholar 

  • Coventry BJ, Watson DI, Tucker K, Chatterton B, Suppiah R. Intraoperative scintigraphic localization and laparoscopic excision of accessory splenic tissue. Surg Endosc. 1998;12(2):159–61.

    Article  PubMed  CAS  Google Scholar 

  • Kollias J, Watson DI, Coventry BJ, Malycha P. Laparoscopic splenectomy using the lateral position: an improved technique. Aust N Z J Surg. 1995;65(10):746–8.

    Article  PubMed  CAS  Google Scholar 

  • Watson DI, Coventry BJ, Chin T, Gill PG, Malycha P. Laparoscopic versus open splenectomy for immune thrombocytopenic purpura. Surgery. 1997;121(1):18–22.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Andrew Ford MB, ChB, ChM, FRCSEd, FRCS, FRACS .

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Ford, A., Hutson, J., Coventry, B.J. (2014). Pediatric Abdominal Surgery. In: Coventry, B. (eds) Pediatric Surgery. Surgery: Complications, Risks and Consequences. Springer, London. https://doi.org/10.1007/978-1-4471-5439-6_3

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  • DOI: https://doi.org/10.1007/978-1-4471-5439-6_3

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