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J Paediatr Child Health. 2015 Jan;51(1):74-7. doi: 10.1111/jpc.12461. Epub 2013 Dec 23.

Non-operative advances: what has happened in the last 50 years in paediatric surgery?

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  • 1The Children's Hospital at Westmead Burns Research Institute, Burns Unit and Douglas Cohen Department of Paediatric Surgery, The University of Sydney, Sydney, New South Wales, Australia.


Paediatric surgeons remain paediatric clinicians who have the unique skill set to treat children with surgical problems that may require operative intervention. Many of the advances in paediatric surgical care have occurred outside the operating theatre and have involved significant input from medical, nursing and allied health colleagues. The establishment of neonatal intensive care units, especially those focusing on the care of surgical infants, has greatly enhanced the survival rates and long-term outcomes of those infants with major congenital anomalies requiring surgical repair. Educational initiatives such as the advanced trauma life support and emergency management of severe burns courses have facilitated improved understanding and clinical care. Paediatric surgeons have led with the non-operative management of solid organ injury following blunt abdominal trauma. Nano-crystalline burn wound dressings have enabled a reduced frequency of painful dressing changes in addition to effective antimicrobial efficacy and enhanced burn wound healing. Burns care has evolved so that many children may now be treated almost exclusively in an ambulatory care setting or as day case-only patients, with novel technologies allowing accurate prediction of burn would outcome and planning of elective operative intervention to achieve burn wound closure.

© 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).


burn; neonatal; neurodevelopment; nutrition; surgery; trauma

[PubMed - indexed for MEDLINE]
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