Article Text

Where should paediatric surgery be performed?
  1. JEFFREY BRAIN, Lead Consultant, Paediatric Surgery,
  1. Department of Paediatric Surgery, Box 226
  2. Addenbrooke’s Hospital, Cambridge CB2 2QQ, UK
    1. LIAM BRENNAN, Lead Consultant, Paediatric Anaesthesia
    1. Department of Paediatric Surgery, Box 226
    2. Addenbrooke’s Hospital, Cambridge CB2 2QQ, UK

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      Editor,—The figures quoted for surgical activity in East Anglia by Arul and Spicer in their response to the letter by Wilkinson and Crowle1 are many years out of date. Over the four year period between 1995 and 1998 two accredited general paediatric surgeons working in Cambridge dealt with 504 neonates. Surgery requiring anaesthesia was carried out in 76% of these (table1). However, we do support Arul and Spicer’s view that specialist paediatric surgical services should be centralised to concentrate experience and so maintain high standards.

      Table 1

      Surgical neonatal caseload at Addenbrooke’s Hospital 1995–98

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