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Pediatric Surgery

Surgical Volumes

Surgeries performed from August 2021 to December 2022:

Pediatric Surgery Fellowship Experience by Role

  • Pediatric Surgery Defined Category and Minimum

     Primary Procedures Secondary Procedures                                    

    Category

    Surgeon

    T/A

    Surgeon

    T/A

    Total

    Minimum

    Abdomen/ GI 187 0 77 0 264 120
    Thoracic 52 0 1 0  53 50
    Endoscopy 33 0 5 0 38 30
    Operative trauma/ critical care 18 0 9 0 27 20
    Non-operative trauma/ critical care 88 0 3 0 91  90
    NICU 22 0 0 0 22 20
    PICU 9 0 5 0 14 10
    Oncology 25 0 1 0 26 25
    Head & Neck/ Endocrine, GU and ARM 86 0 16 0 102 50
    Common Procedures as Teaching Assistant 0 95 0 5 100 50

    Total Major Operations

    955

    103

    226

    5

    1181

    800

     

  • Abdomen/Gastrointestinal

    Procedure

    Surgeon

    Teaching Assistant

    Total

     Closure gastroschisis/omphalocele 9 0 9
    Choledochal cyst/biliary atresia 
    Other bile duct obstruction: choledocholithiasis; common bile duct stones; biliary structure  1
    Liver/ Pancreas transplant 0 0 0
    Pancreas 0 0 0
    Inguinal Hernia < 6 months 38 13 51
    Duodenal and other atresias, stenosis, web or Meconium ileus 18 1 19
    Pullthrough for Hirschsprung disease 2 0 2
    Malrotation/ Intussusception/ Meckel's Diverticulum 14 0 14
    Gastric Procedures 1 0 1
    Total colectomy with ileoanal reconstruction or coloanal procedures 1 0 1
    Laparotomy for NEC 6 0 6
    Small bowl and colon procs for intestinal duplication, Hirschsprung disease  11 0 11
    Splenectomy 1 0 1
    Repair or resection neonatal gastric perforation 0 0 0
    Resection mesenteric, omental cyst 0 0 0
    Gastric volvulus and paraesophageal hernia 14 0 14
    Portal Hypertension procedures 0 0 0
    Pancreatectomy 0 0 0
    Liver Biopsy 0 0 0
    Cholecystectomy 30 2 32
    Drainage of abscess (hepatic or otherwise) 2 0 2
    Inguinal and other hernias > 6 months 54 3 57
    Ventral hernias 7 3 10
    Umbilical hernias 19 9 28
    Gastrostomy 53 2 55
    Marsupialization of hepatic cyst 0 0 0
    Appendicitis 112 12 124
    Minor anorectal procedures 6 0 6
    Segmental resection or laparotomy for SBO/ Crohn disease / IBD/ Polyposis 1 0 1
    Small bowel and colon procedures - NOT int dup, Hirschprung disease 4 0 4
    Bowel Resection for IBD 0 0 0
    Intestinal other 24 0 24
    Obesity Surgery 0 0 0
    Rectal Prolapse 1 0 1
    Fundoplication for sliding/ hiatal hernia/ gastroesophageal reflux 9 0 9
    Pyloromyotomy 11 0 11

    Total Abdomen/Gastrointestinal

    454

    45

    499

     

  • Endoscopy

    Procedure

    Surgeon

    Teaching Assistant

    Total

    Lower GI Procedure 0 0 0
    Upper GI Procedure 14  14
    Airway Endoscopy Procedure  5 5
    Diagnostic 2 0 2
    Rigid & Flexible esophagoscopy (endoscopy) 8 0 8
    Rigid & Flexible bronchoscopy (endoscopy) 1 0 1

    Total Endoscopy

    30

    0

    30

     

  • Head & Neck/ Endocrine, GU and ARM

    Procedure

    Surgeon

    Teaching Assistant

    Total

    Branchial cleft sinus or cyst 1 0 1
    Resection of an AVM or lymphatic malformation >5 cm in diameter 0 0
    Thyroglossal duct cyst 1
    Parotid/ Submanidibular 2 0 2
    Tracheostomy under 2 years 1 0 1
    Thyroidectomy (partial or total) 7 0 7
    Nephrectomy "Other" 5 0 5
    Parathyroidectomy 0 0 0
    Ovarian torsion/ ovaries/ tube/ uterus (not malignancy) 8 0 8
    Testicular torsion 3 0 3
    Orchidopexy 43 2 45
    Resection of urachal remnant 6 2 8
    Repair any anorectal malformation (low to cloaca) 17 1 18
    Repair vaginal atresia/ Mullerian Anomalies/ DSD 0 0 0
    Vaginal Procedures 1 0 1
    Renal Transplant 4 0 4
    Urology Other 1 0 1
    Branchial cleft remnant 1 0 1
    Lymph Node Biopsy 3 0 3
    Biopsy or excision of/ minor procedures H & N Mass 0 0 0
    Resection of fibroadenoma 2 1 3
    Subtotal mastectomy for gynecomastia 1 0 1
    Circumcision 56 16 72
    GU Biopsy and other minor procedures 0 0 0
    Others (read & neck/ endocrine, GI and ARM) 4 0 4
    Tracheostomy over 2 years or minor procedure 1 0 1
    Branchial cleft remnant or superficial lymphovascular malformation 0 0 0
    Cystoscopic procedures 0 0 0
    Varicocele 2 0 2
    Hypospadias/ Chordee 7 0 7
    Minor ovarian or uterine procedures 0 0 0

    Total Head & Neck/ Endocrine, GU and ARM

    177

    22

    199

     

  • Oncology

    Procedure

    Surgeon

    Teaching Assistant

    Total

    Ovarian Mass 6 0 6
    Testicular Tumor 2
    Sacrococcygeal teratoma 3 3
    Neuroblastoma/ Sarcoma/ PINET/ Chest Wall Tumors/ Pseudomyxoma peritonei 3 0 3
    Adrenalcortical carcinoma/ adenoma 0 0 0
    Resection pheochromocytoma 0 0 0
    Pancreatic tumor 0 0 0
    Spleen with en bloc resection 0 0 0
    Wilms/ Kidney Tumor 4 0 4
    Hepatoblastoma 2 0 2
    Pulmonary Tumors (use in oncology if there is cancer diagnosis) 0 0 0
    Mediastinal Tumors 2 0 2
    Tumor Biopsy 1 1 2
    Abdominal exploration with or without biopsy 0 0 0
    Excisional biopsy of skin lesions and benign tumors 5 4 9
    Melanoma Skin Soft Tissue Lesions 0 0 0
    Diagnostic or therapeutic chest exploration for pulmonary mets 1 0 1
    Testicular Transfer before Radiation 0 0 0
    Soft tissue tumor or vascular malformation 1 0 1
    Live biopsy oncology 0 0 0
    Sentinel lymph node biopsy/ lymphadenectomy 1 0 1

    Total Oncology

    31

    5

    36

     

  • Thoracic

    Procedure

    Surgeon

    Teaching Assistant

    Total

    Tracheal Reconstruction/ Tracheobronchial Reconstruction 0 0 0
    Aortopexy 0 0
    Tracheobronchial or mediastinal tumor (benign)  0 0
    EA/ TEF Congenital/ acquired/ other esophagus  6 0 6
    Resection foregut duplication/ congenital cysts/ Other mediastinal masses (other than cancer) 3 0 3
    Heller myotomy 0 0 0
    Repair Congenital CDH 6 0 6
    Repair diaphragmatic hernia other than neonatal 0 0 0
    Repair eventration of the diaphragm 0 0 0
    Other Thoracoscopy/ thoracotomy 1 0 1
    Paraesophageal hiatal hernia repair via thoracotomy or thoracoabdcominal approach 0 0 0
    Repair chest wall deformity (pectus) 2 0 2
    Thymectomy 2 0 2
    Lung resection (lobe or more) 5 0 5
    Ligation Thoracic Duct (Chylothorax) 0 0 0
    Esophagectomy (partial or complete)/ replacements 1 0 1
    Closure PDA - Thoracic 3 0 3
    Esophageal resection or replacement 0 0 0
    Thoracoscopic lobectomyor pericardectomy 1 1 2
    VATS 5 0 5
    Other - thoracic 7 1 8

    Total Thoracic

    42

    2

    44

     

  • Trauma/ Critical Care

    Procedure

    Surgeon

    Teaching Assistant

    Total

    Laparoscopy/ Laparotomy for trauma 2 0 2
    GU/ Perineal Trauma 1 1
    Thoracoscopy/ Thoracotomy for trauma 0 0 0
    Tracheostomy 0 0 0
    Surgery for burns 11 0 11
    Exploration for trauma - penetrating injury 1 0 1
    Vascular Reconstruction 0 0 0
    Vascular trauma 1 0 1
    ECMO Cannulation 8 0 8
    Traumatic diaphragmatic hernia 0 0 0
    Intestinal resection for trauma 0 0 0
    Tube thoracostomy 0 0 0
    Debridement for Necrotizing soft tissue infection 0 0 0
    GU Trauma 0 0 0
    Decompression laparotomy for abdominal compartment syndrome 1 0 1
    Fasciotomy 0 0 0
    Complex Wound Closure 4 0 4
    Cardiovascular 1 0 1
    Dialysis Procedures 0 0 0
    Thoracoscopy for trauma 0 0 0
    Non-Operative trauma and critical care 65 2 67
    Neonatal CC 22 0 22
    Pediatric ICU 14 0 14
    ECMO 4 0 4

    Total Trauma / Critical Carew

    135

    2

    137

     

  • Other

    Procedure

    Surgeon

    Teaching Assistant

    Total

    Pilonidal Cyst Excision 10 5 15
    CVL 46 5 51
    Muscle Biopsy 2 2
    Removal of Foreign Body 0 0
    Amputation 0 0 0
    PD Catheter, VP shut 2 0 2
    Drainage Abdominal Abscess 0 0

    Total Other

    60

    10

    70

    Non-Tracked Codes 21 0 21

    Total Non-Tracked Codes

    21

    0

    21

    GRAND TOTAL

    950

    86

    1,036