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OAHU PEDIATRIC SURGEONS

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Pediatric Surgery is the branch of surgery that uses operative techniques for the treatment of congenital conditions, diseases, traumatic injuries, and other disorders in young patients - newborns up through late adolescence. Pediatric surgery is a very broad term and encompasses many different specialties within its fold – pediatric general surgery, pediatric ophthalmologic surgery, pediatric otolaryngologic surgery, pediatric orthopedic surgery, and so on.

Pediatric surgery is very different from other surgeries as a pediatric patient is both physically and psychologically different from an adult. The small and immature organs of a child, especially those of a newborn, are very delicate and still in the process of development, and hence need great care during surgery.

Pediatric surgeons are medical specialists who have had specialized training in pediatric surgery. It usually takes five years of general surgery training after medical school, then a further few years of specialized instruction and experience in pediatric general surgery or in a specific pediatric specialty before being certified as a pediatric surgeon. Pediatric surgeons are trained to treat the entire spectrum of surgical illnesses. Some of these are:

• Acute appendicitis : Inflammation of the appendix. Symptoms include pain in the abdomen, anorexia, nausea, and vomiting.

• Meckel's diverticulum : An outgrowth of intestine in the ileum. Symptoms of the obstruction are gastric problems, vomiting, and bleeding.

• Pyloric stenosis (PS) : An obstruction in the intestine due to a larger-than-normal size of the muscle fibers of the pylorus. Symptoms of this hereditary condition include a progressive, often projectile, vomiting after attempted feedings. The infant fails to gain weight, and the number of bowel movements and rate of urination decreases.

• Necrotizing enterocolitis (NEC) : A life-threatening illness characterized by abdominal distention, bilious vomiting, lethargy, fever, rectal bleeding, hypothermia (temperature less than 96.5°F or 35.8°C), bradycardia (slow heart rate), abdominal mass (felt during palpation), oliguria, jaundice, and episodes of breathlessness (apnea).

• Ulcerative colitis : Inflammation and ulceration of the colon. Symptoms include bloody diarrhea, severe cramping, abdominal pain, and urgency.

• Biliary atresia : A liver disease that causes inflammation of the ducts within the biliary system, resulting in fibrosis of these ducts.

• Cholelithiasis : Gallbladder obstruction in infants and young children caused by pigmented (colored) stones resulting from blood disorders.

• Trauma : Injuries due to accidents like falls, bicycle injuries, drowning, burns, child abuse, and birth trauma.

• Tumors : Tumors in infants are usually due to genetic abnormalities

These are but just a few of the many conditions that may affect young patients. If you notice any abnormality in your child, do not take it lightly. To prevent any major problem it is best to consult a pediatric surgeon.

A list of pediatric surgeons in Oahu (with their filed of specialty in parenthesis) is given below. The list has been compiled for you by Oahu.us.

Honolulu

Aiea

Ewa Beach

Kaneohe

Kailua

Kapolei

Mililani

Wahiawa

Waianae

Wailuku

Waipahu

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