Members of the Care Team

  • Pediatric Anesthesiologist - An anesthesiologist is a physician who has earned an undergraduate degree and completed four years each of medical school and residency training in the medical specialty of anesthesiology. A pediatric anesthesiologist has additional experience or fellowship training in pediatric anesthesiology and may be board certified in both anesthesiology and pediatric anesthesiology. Additionally, many pediatric anesthesiologists also specialize in cardiac anesthesiology, pain medicine, critical care management or neuroanesthesia.
  • Pediatric Surgeon - A pediatric surgeon is a physician who has earned an undergraduate degree and completed four years of medical school, five years of residency training in general surgery followed by an additional two years of residency specialization in pediatric surgery. Pediatric surgeons are double board certified in surgery and pediatric surgery.

Conditions Treated

  • Biliary Dyskinesia - Biliary dyskinesia occurs when the gallbladder has abnormal contractions that cause pain in the right upper part of the abdomen. The pain is usually worse after eating, especially after eating greasy foods.
  • Fistula-in-ano - Fistula-in-ano is a tunnel that forms between the rectum and the skin of the buttocks, usually after having a perianal abscess. This condition is common in infants and usually causes recurrent infections until the fistula is treated
  • Hydrocele - Hydrocele is fluid around one or both testicles in boys. In many cases hydroceles are normal, but in some cases may indicate an inguinal hernia is present, which should be fixed surgically.
  • Inguinal Hernia - Inguinal hernia is an opening in the abdominal wall near the groin which causes a bulge from the lower abdomen.
  • Pectus Excavatum - Pectus excavatum, also known as sunken chest, occurs when the breastbone is sunken in making the chest look concave. A sunken chest can cause problems with breathing that is usually worse during exercise.
  • Pilonidal Cyst - Pilonidal cyst is a chronically draining area on the tailbone. When hair gets stuck in the cyst, it results in an infection that causes pain over the tailbone. The infection usually has to be treated by incision and drainage. Pilonidal cysts usually become a chronic problem and require surgery for cure.
  • Umbilical hernia - Umbilical hernia is an opening in the belly button which causes a bulge. Most umbilical hernias go away on their own by the time a child is 3 to 4 years of age. If the hernia persists after this age, surgery is recommended to fix it and prevent problems later in life.
  • Undescended Testicle - Undescended testicle occurs when one or both of the testicles are not present in the sack. The testicle(s) can be stuck in the groin or inside the abdomen.

Types of Testing

  • Computed Tomography (CT) - Computed tomography, also called a CAT scan, uses x-ray and computer equipment to produce cross-sectional images of body tissues and organs. CT imaging is useful because it can show several types of tissue, such as lung, bone, soft tissue and blood vessels. Specialized types of CT are used to obtain high resolution imaging of arteries, called CTA or CT-angiography.
  • Nuclear Medicine Scan - Nuclear medicine, or scan, uses a small amount of a radioactive substance to produce two or three-dimensional images of body anatomy and function. The diagnostic images produced by a nuclear scan are used to evaluate a variety of diseases. Sometimes a nuclear scan is combined with a CT scan.
  • Physical examination - A physical examination can help physicians with diagnosing problems or conditions and determine additional testing needs.
  • Ultrasound - Ultrasound imaging, also called sonography, is a method of obtaining diagnostic images from inside the body to help doctors with making diagnoses and treatment recommendations. Ultrasound is painless and does not use radiation, but rather uses sound waves that are reflected from various body tissues.
  • X-ray - X-ray is the oldest and most frequently used form of medical imaging, producing diagnostic images of the body that allow doctors to view and assess broken bones or other injuries.

Treatment Options

  • Anal Fistulotomy - Anal fistulotomy is a surgery used to treat a fistula-in-ano.
  • Cholecystectomy - Cholecystectomy is a surgical procedure where the gallbladder is removed.
  • Excisional Biopsy - Excisional biopsy is the process of cutting out and removing the entire portion of abnormal tissue for diagnosis and cure.
  • Expectant Management - Expectant management is the monitoring of certain conditions that will resolve on their own with time.
  • Incision and Drainage - Incision and drainage is the process of opening an area of infection and letting it drain.
  • Incisional Biopsy - Incisional biopsy is the process of cutting out and removing a small portion of abnormal tissue for diagnostic purposes.
  • Inguinal Hernia Repair - Inguinal hernia repair is a type of surgery to fix an inguinal hernia through a small incision in the groin or laparoscopically.
  • Karydakis Procedure - Karydakis procedure is the removal of all abnormal pilonidal cysts along the tailbone.
  • Nuss Procedure - Nuss procedure is the placement of a curved bar behind the chest wall to hold it out, fixing pectus excavatum.
  • Orchiopexy - Orchiopexy is a type of surgery for undescended testicle(s) where the missing testicle is found and put into the sack.
  • Ravitch Procedure - Ravitch procedure is where the cartilaginous portions of the ribs are excised to allow the breast bone to be repositioned, used to treat chest wall problems like pectus excavatum.
  • Robotic-Assisted Surgery - Robotic-assisted surgery is when a surgeon uses robotic arms to perform surgical procedures.
  • Umbilical Hernia Repair - Umbilical hernia repair is the closing of an umbilical, or belly button, hernia through a small incision in the belly button. This procedure is typically done with sutures alone, but in severe cases may require a mesh patch.

Referral Indications

  • HIDA Scan - HIDA scan is a specialized nuclear medicine scan that measures how well the gallbladder is functioning. It is used to diagnose biliary dyskinesia.
  • Incarceration - Incarceration refers to a hernia that has become stuck and does not easily push back into the abdomen.
  • Strangulation - Strangulation refers to an incarcerated hernia where the blood flow to the herniated contents is cut-off.
  • Testicular Torsion - Testicular torsion is a twisting of the testicle that results in blood flow to the testicle being cut-off.

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