LEADING ARTICLE
Children's surgery
Trends in children’s surgery in England
Correspondence to:
Correspondence to:
Stuart Tanner
University of Sheffield, Academic Unit of Child Health, Sheffield Children’s NHS Trust, Western Bank, Sheffield, UK; m.s.tanner@sheffield.ac.uk
Accepted 19 March 2007
It is important to plan for the future provision of paediatric surgery and anaesthesia
| The first 150 words of the full text of this article appear below. |
The 1989 report of the National Confidential Enquiry into Perioperative Deaths (NCEPOD)1 recommended that surgeons and anaesthetists should not undertake occasional paediatric practice and that consultants who take responsibility for the care of children (particularly in district general hospitals (DGHs) and in single surgical specialty hospitals) must keep up to date and competent in the management of children. A relationship between surgeon volume and operative mortality in adult surgery is recognised.2 In 1998, Arul and Spicer3 argued persuasively in this journal that paediatric surgery and anaesthesia should be concentrated in specialist centres. They included in this recommendation both specialist (neonatal surgery, complex surgical conditions, straightforward surgical conditions in children with associated disorders, and urology) and non-specialist (such as inguinal hernia, hydrocoele, circumcision, correction of torsion of the testis) paediatric surgery. Whilst there was agreement that neonatal and complex surgery should be centralised, commentators pointed out that most children’s
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A brief digest of the August issue
Arch. Dis. Child. 2007 92: e8.[Extract] [Full Text] [PDF]
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