The future of paediatric surgery outside specialist paediatric hospitals

Irish Journal of Medical Science
A O'DonovanP A Grace

Abstract

In Ireland, general surgeons provide paediatric surgical services to patients remote from specialist paediatric units. To review general paediatric surgical services in the Mid-Western Health Board (MWHB) region with a view to informing future policy decisions in Ireland. From 1995 to 2000, the paediatric surgical workload at the Mid-Western Regional Hospital was reviewed. Operations performed, level of operating surgeon, morbidity and mortality were recorded. There were 3,166 general paediatric surgical patients cared for by three general surgeons and one urologist, all with paediatric surgical training. There was an increase in day cases (55% to 70%) and operations at which the consultant was the main operator (40% to 67%). There was no mortality and the morbidity rate was less than 1%. General paediatric surgery and urology is well provided for in the MWHB by appropriately trained surgeons. Lack of opportunity for surgeons in training to obtain general paediatric surgical experience will put this service at risk as the current cohort of surgeons retire. Expansion in specialist paediatric surgical services, changes in general surgical training to include general paediatric surgery or proleptic appointments may be required.

Citations

Sep 17, 2009·Irish Journal of Medical Science·O ZgrajP A Grace
Sep 10, 2014·Irish Journal of Medical Science·M J BurkeH D Flood
Jun 8, 2014·Irish Journal of Medical Science·G J NasonH D Flood
Feb 25, 2014·Irish Journal of Medical Science·G SadadcharamE J Andrews
Jan 16, 2010·Revista do Colégio Brasileiro de Cirurgiões·Lisieux Eyer de JesusAntônio Carlos M Amarante

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