Christopher P. Coppola Alfred P. Kennedy, Jr. Ronald J. Scorpio Editors Pediatric Surgery Diagnosis and Treatment 123 Pediatric Surgery Christopher P. Coppola (cid:129) Alfred P. Kennedy Jr. Ronald J. Scorpio Editors Pediatric Surgery Diagnosis and Treatment Editors Christopher P. Coppola, MD Ronald J. Scorpio, MD Department of Pediatric Surgery Department of Pediatric Surgery Janet Weis Children’s Hospital Janet Weis Children’s Hospital Geisinger Medical Center Geisinger Medical Center Danville , PA Danville , PA USA USA Alfred P. Kennedy Jr., MD Department of Pediatric Surgery Janet Weis Children’s Hospital Geisinger Medical Center Danville , PA USA ISBN 978-3-319-04339-5 ISBN 978-3-319-04340-1 (eBook) DOI 10.1007/978-3-319-04340-1 Springer Cham Heidelberg New York Dordrecht London Library of Congress Control Number: 2014941283 © Springer International Publishing Switzerland 2014 T his work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) To our loved ones at home, who wait, because they understand. Foreword In the spirit of disclosure, I wish to state that Drs. Kennedy Jr., Scorpio, and Coppola have been friends of mine for many years. But even more important, they are col- leagues who I trust and rely on to provide quality care to all of our children. They have never let me down. With the addition of this new book they have been able to capture their experience and the experiences of the contributors, into words so that we can all learn from them in a timely and succinct manner. This book will provide clinicians with a convenient way of understanding the various conditions that go into pediatric surgery. Even though it is intended to be a handbook, considerable effort has gone into making this book as complete as possible. It should be viewed as a quick and convenient reference and a starting point to the understanding of what it takes to do pediatric surgery. I sincerely hope that this pocket-sized handbook will become a big part for all physicians who do pediatric surgery. It is to their need for concise and practical information that this book has been written. Danville, PA, USA Michael Ryan , DO January 2014 Janet Weis Children’s Hospital vii Pref ace T here are relatively few pediatric surgeons in the world. They tend to be concen- trated in tertiary medical centers in metropolitan areas. Many large cities don’t have a pediatric surgeon of their own. This is a testament to the kind fact that most chil- dren will not need emergency surgery. Pediatric surgery, as a discipline, however is practiced by many more providers, in every hospital that has a child enter their doors. Every time a pediatrician diagnoses a child with abdominal pain, an emer- gency medicine physician cleans a child’s wound, or a nurse chooses a location for an intravenous line in an infant, pediatric surgical care is being delivered. This book is recognition of the fact that every day providers who may not have completed pediatric specialty training need to make rapid decisions in the care of children who could possible need an operation. It is written in a style that allows for rapid assess- ment and practical selection of diagnostic and therapeutic modalities. It is our hope that it can provide useful guidance across the spectrum from the novice trainee in a clerkship faced with a new consultation in the emergency department to the sea- soned family physician making the decision to refer a patient to a pediatric surgeon. We have arranged the material into sections of perioperative resources and specifi c conditions affecting children across the stages from neonate to adolescent. Every child helped in some small way by this work is a fulfi llment of our intentions. T he authors are not responsible for product liability, negligence, injury, or other- wise for any loss, harm, or injury resulting from any material contained in this work. This work contains information relating to general principles of medical care which should not be construed as specifi c instructions for individual patients. The respon- sibility for making treatment decisions lies with the providers caring for specifi c patients. Pharmaceutical product inserts and manufacturers’ product information should be reviewed for current information, including contraindications, dosages, and precautions. Users of this text accept these conditions. Danville, PA, USA Christopher P. Coppola , MD Alfred P. Kennedy Jr. , MD Ronald J. Scorpio , MD ix
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