Preface
The early history of the surgery of conjoined twinsis presented, followed by a brief resume of the experience of surgeons at Great Ormond Street Hospital for Children, London with 40 sets of symmetrical conjoined twins. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - June 22, 2015 Category: Pediatrics Authors: Lewis Spitz Source Type: research
Prenatal diagnosis and obstetric management
Conjoined twins are rare, representing 1 in 50,000 to 1 in 200,000 live births, and the prognosis is generally poor. Accurate prenatal diagnosis by an experienced multidisciplinary team using a combination of imaging modalities allows parents to make fully informed choices. This may include termination of pregnancy, which is easier and safer at the earlier gestations at which diagnosis is now being made; continuing with the pregnancy but accepting that on ly palliative care is appropriate after birth; or planned intensive care and separation of the twins after birth. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - June 22, 2015 Category: Pediatrics Authors: Pat O'Brien, Mae Nugent, Asma Khalil Source Type: research
Classification and clinical evaluation
Conjoined twins represent a great challenge for most pediatric specialities including pediatric surgeons, anesthesists, neonatologists, urologists, neurosurgeons and orthopedic surgeons. This anomaly can be classified according to the type of twins’ fusion. Various organs can be fused making the separation difficult. Conjoined twins are usually diagnosed antenatally by ultrasound. Detailed fetal echocardiography is necessary to counsel the parents during pregnancy. Postnatally, the majority of the conjoined twins can be thoroughly investigated using various imaging techniques. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - June 22, 2015 Category: Pediatrics Authors: Agostino Pierro, Edward Kiely, Lewis Spitz Source Type: research
Contents
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - June 6, 2015 Category: Pediatrics Source Type: research
Forthcoming topics
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - June 6, 2015 Category: Pediatrics Source Type: research
Contents
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 12, 2015 Category: Pediatrics Source Type: research
Forthcoming topics
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - May 12, 2015 Category: Pediatrics Source Type: research
Transitional care in pediatric neurosurgical patients
The relatively young specialty field of pediatric neurosurgery addresses a number of surgical diseases that, while first encountered in children, may involve long-term post-operative sequelae that persist into adulthood. These diagnoses present a challenge for care providers as patients transition from pediatric to adult age groups. Brain tumors, shunted hydrocephalus, and myelomeningocele are three of the most common examples of this interesting category. The provision of coordinated transitional care to affected pediatric neurosurgical patients is made all the more difficult by the common comorbidity of developmental del...
Source: Seminars in Pediatric Surgery - March 12, 2015 Category: Pediatrics Authors: David H. Rothstein, Veetai Li Source Type: research
Transitional care in solid organ transplantation
Pediatric solid organ transplantation has become an accepted modality of treatment in the last few decades. The number of childhood recipients of solid organ transplantation surviving to adulthood is correspondingly rising. This review examines the epidemiology of pediatric solid organ transplant recipients, and the challenges faced during transition to adult services, with suggestions for improvement in collaborative and coordinated care. Transition to adulthood has been established as a vulnerable period for recipients of a solid organ transplant. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - March 12, 2015 Category: Pediatrics Authors: Nanda Kerkar, Rachel Annunziato Source Type: research
Childhood cancer survivors: Considerations for surgeons in the transition from pediatric to adult care
There are over 380,000 childhood cancer survivors (CCS) alive in the US, and the population is growing. CCS face significant long-term morbidity and mortality as a consequence of their cancer treatment and thus require lifelong, risk-based health care focused on surveillance and early intervention to minimize the impact of late effects and second malignant neoplasms (SMN). Surgeons play a critical role in the treatment of childhood cancer and the subsequent management of long-term health complications. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - March 12, 2015 Category: Pediatrics Authors: Tara O. Henderson, Paul C. Nathan Source Type: research
Preface
This issue of Seminars in Pediatric Surgery is devoted to the important subject of transition of care for patients as they move from pediatric to adult caregivers. While transitional care in the medically complex pediatric patient has been a frequent topic in the literature for over a decade, only recently has similar attention been turned to pediatric surgical patients entering adulthood. Transition of care is no less important for the parents and guardians of these patients, who must begin to step back from primary responsibility for care decisions. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - March 12, 2015 Category: Pediatrics Authors: David H. Rothstein, Jessica J. Kandel Source Type: research
Transition from pediatric to adult surgery care for patients with disorders of sexual development
Disorders of sexual development (DSDs) are relatively rare congenital conditions in which the development of the chromosomal, gonadal, or anatomic sex is atypical. Some conditions may not manifest until puberty or adulthood. The examination and workup of either an infant or an older patient with suspected DSD should be directed and performed systematically by a multidisciplinary team. Ideally, the team will include those with not only an interest in DSD but also experience with this group of patients. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - March 12, 2015 Category: Pediatrics Authors: Kate A. McCracken, Mary E. Fallat Source Type: research
Contents
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - March 12, 2015 Category: Pediatrics Source Type: research
Forthcoming topics
(Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - March 12, 2015 Category: Pediatrics Source Type: research
The evolving identity, capacity, and capability of the future surgeon
Technology has transformed surgery more within the last 30 years than the previous 2000 years of human history combined. These innovations have changed not only how the surgeon practices but have also altered the very essence of what it is to be a surgeon in the modern era. Beyond the industrial revolution, today׳s information revolution allows patients access to an abundance of easily accessible, unfiltered information which they can use to evaluate their surgical treatment, and truly participate in their personal care. (Source: Seminars in Pediatric Surgery)
Source: Seminars in Pediatric Surgery - March 4, 2015 Category: Pediatrics Authors: Sharifa Himidan, Peter Kim Source Type: research
