Chapter

Common paediatric surgical conditions

James A. Morecroft and Ross J. Craigie

in Oxford Textbook of Fundamentals of Surgery

Published on behalf of Oxford University Press

Published in print July 2016 | ISBN: 9780199665549
Published online July 2016 | e-ISBN: 9780191810817 | DOI: https://dx.doi.org/10.1093/med/9780199665549.003.0100

Series: Oxford Textbooks in Surgery

Common paediatric surgical conditions

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Pyloric stenosis is common in infancy and, with greater awareness, often presents early without the profound metabolic disturbance and emaciation seen in older textbooks. Inguinal hernia is common (2% boys undergo herniotomy). Incarceration is inversely related to age as is the urgency of operation. Undescended testis is less common with 1% boys undergoing orchidopexy. Testicular descent continues in early postnatal life and it is now recommended to place the testis in the scrotum by the age of 1 year to preserve function. Physiological phimosis is a normal condition when the foreskin does not retract and balloons on micturition; circumcision is rarely required before 6 years of age. Separation of the foreskin from the glans normally begins distally; if proximal separation occurs sebaceous material accumulates in the coronal sulcus forming a preputial pearl. Midline abdominal wall hernias rarely cause problems and often resolve spontaneously.

Chapter.  2215 words.  Illustrated.

Subjects: Surgery ; Paediatric Surgery

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