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February 1983

Complications of Pediatric Surgery: Prevention and Management

Arch Surg. 1983;118(2):254. doi:10.1001/archsurg.1983.01390020096020

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This volume arose from the surgical audit experience of Children's Hospital Medical Center, Boston. Thirty-four chapters by 50 authors cover pediatric surgical complications comprehensively in six parts.

In part 1 (general), an effective review of basic pediatric surgical physiology leads into prevention and treatment of related complications. Part 2 (head and neck) includes treatment of complications of shunts for diversion of cerebrospinal fluid as well as ophthalmic trauma and tonsillectomy. An otherwise good chapter on soft-tissue injury appears misplaced in part 2. Noteworthy in part 3 (thorax) is a well-illustrated chapter on the trachea and tracheostomy, lungs, and the pleural cavity. Part 4 (abdomen) is the longest and covers complications of surgery for high-risk diseases such as gastroschisis and biliary atresia, as well as how to control a torn sac during inguinal hernia repair. A solid experience with nonoperative management of the injured spleen is described as well. Partial splenectomy

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