Pediatric Surgery

Hendren, W. Hardy

doi:10.1001/archsurg.1994.01420280011002

Cited by 5 publications

(3 citation statements)

References 81 publications

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“…Pediatric Surgeons are better exposed to the principles of pediatric care during their residency training than any other surgical specialty. Also, nearly 30% of pediatric surgical training is already in pediatric urology [6,7]. Thus, Pediatric Surgeons unlike other surgical specialists (Adult Urology / Plastic Surgery) [8] are adequately equipped to handle these most common delicate genital anomalies where surgery is indicated early in life.…”

Section: Discussionmentioning

confidence: 99%

Trends of Hypospadias Surgery Amongst Pediatric Surgeons at Resource-Limited Rural & District Hospitals in Maharashtra State: An Online Survey

Patankar

2022

PAPN

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Background: Hypospadias is one of the most common congenital genital anomalies for which surgery early in life is indicated. Surgeons practicing in Rural Hospitals with limited resources are faced with numerable challenges.Aims: Evaluate current practices regarding a variety of aspects of hypospadias surgery amongst paediatric surgeons at Rural Hospitals.Materials and Methods: Pediatric surgeons from Rural & District Hospitals in Maharashtra were invited to participate in an anonymous online questionnaire (Hypospadias Questionnaire). General demographic data, number of cases operated per year, preferred technique in the correction of hypospadias, outcomes and complications were gathered. The data was analyzed and compared with international practices.Results: 75 surgeons responded to the questionnaire. Only 34.7% do > 20 cases a year. 41.3% do < 20 cases. Most (82.7%) operate at ≤ 2-year age. Only 30% operated at District or Government Health Care facilities. Majority (70%) operated in private General hospitals and Nursing Homes. Tabularized incised plate (TIP) is the preferred technique in distal hypospadias. In proximal hypospadias, two stage-repair is preferred. All use indwelling stents.Complications: Overall, 80% had ≤ 20% complication rates. Coronal urethra-cutaneous fistula was the most common complication.Training: 60% learnt hypospadias during residency; 35.6% learnt it through hypospadias workshops and training courses. Conclusion:Hypospadias can be successfully managed in resource-limited settings; the single most limiting factor is the professional skill of the surgeon. There is an urgent need to extend pediatric surgical services to our rural government and district hospitals. COPS-IAPS is a step in this direction. This study contains data based on personal experience. Future research must focus on prospective controlled trials.

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Section: Discussionmentioning

confidence: 99%

Trends of Hypospadias Surgery Amongst Pediatric Surgeons at Resource-Limited Rural & District Hospitals in Maharashtra State: An Online Survey

Patankar

2022

PAPN

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“…I have been asked several times to recount my own experiences in becoming a pediatric otolaryngologic specialist. Like many others, I fell into the field 11. Within my medical education, I acquired training that later gave me the expertise required to become a pediatric otolaryngologist.…”

Section: Reflectionsmentioning

confidence: 99%

A brief history of pediatric otolaryngology

Stool

1996

Otolaryngol.--head neck surg.

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“…Contrary to this, nearly 10 to 30% of pediatric surgical training is already in pediatric urology. [23] Thus, pediatric surgeons are better exposed to urological problems of children than urologists are in the principles of pediatric care. Teaching pediatric surgeons additional skills in renal transplantation and endourology will amount to refining their skills which is not only logical but also easier, effective and economical than to “re-train” adult urologists in pediatric care.…”

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confidence: 99%