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:

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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