* Pediatric Surgery
Adzick NS, Nance ML Pediatric surgery First of two parts. N Engl J Med 2000,342(22).-1651-57 Adzick NS, Nance ML Pediatric surgery. Second of two parts. N Engl J Med 2000; 342(23):1726-31.
The history of pediatric surgery as a well-established specialty with subspecialties is discussed in these two articles. The articles also discuss several areas of pediatric surgery that have progressed substantially in the last decade. The first article reviews surgical treatment for neonatal disorders (for example, congenital diaphragmatic hernia, esophageal atresia, Hirschsprung's disease, necrotizing enterocolitis, imperforate anus, and congenital hyperinsulinism) and new routine minimally invasive surgical techniques such as the use of highresolution cameras and telescopes, laparoscopy, and thoracoscopy. The second article focuses on organ transplantation, multidisciplinary treatments for children with cancer, surgical approaches for the prevention and treatment of childhood injuries, and fetal surgery.
Ultrasonography, color Doppler ultrasonography, and fetal magnetic resonance imaging have enhanced the accuracy of prenatal evaluation and allowed pediatric surgeons to diagnose and treat certain conditions before birth.
Nancy Risser, MN, RKC, ANP
Mary Murphy, CPNP, PhD
Copyright Springhouse Corporation Apr 2001
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