Surgical techniques for pediatric patients have changed and improved over the past two to three decades as increased technology and newer procedures have significantly aided the surgeon in the management of many common pediatric surgical conditions. This issue of Pediatric Annals presents updates and management principles for laparoscopic cholecystectomy, appendectomy, splenectomy, and also the evaluation for contralateral inguinal hernia presence or nonpalpable testes. The final article summarizes the current status of thoracoscopy and its place in the diagnosis and treatment of pediatric pulmonary and chest pathology.
These succinct articles will provide the primary care practitioner with the factual knowledge, indications, contraindications, and surgical techniques to assist in individual personal education, as well as to guide and support patients and families undergoing these surgical operations.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1. Cholelithiasis does not occur in childhood in the absence of hemolytic diseases.
2. Ultrasonography Is of little benefit in making the diagnosis of appendicitis from a ruptured appendix.
3. The major indication for splenectomy in sickle cell disease is persistent anemia.
4. Diagnostic accuracy for thoracoscopic biopsy is generally greater than 90%.
Answers tu the Pretest: