PEDIATRIC-SURGERY IN GENERAL SURGICAL HOS PITALS

Pediatric surgery in general surgical hospitals involves treatment of blunt thoracic trauma, blunt abdominal trauma and acute abdominal and inguinal surgery. Special surgical techniques are: opening of the burs a omentalis to detect pancreas ruptures; partial liver resections in d eep organ ruptures instead of wound readaptation due to postoperative bleeding, gall bladder fistulae and rising infections; organ-protectin g spleen resections. Appendectomy is indicated in children in cases of non-inflammatory, congenital chronic abdominal pain (dissociated visc eral growth); side-to-side anastomosis is contraindicated because of t he ''blind-loop syndrome''. The megacolon detected intraoperatively ha s seven different causes necessitating a colostomy and further diagnos tic procedures in special hospitals. Incarcerated hernias in newborns have a 6-times higher recurrence rate, Bassini operations are contrain dicated.