Pediatric Surgery

Surgical Volumes

Surgeries performed from 7/1/17 to 6/30/19:

OPERATIVE PROCEDURES	UTMB	Driscoll	Shriners
Skin/Soft Tissue/Musculoskeletal
Burn debridement or grafting	#	67	2771
Complex wound closure	1	12	21
Breast	1	63	#
Pilonidal cyst excision	8	40	#
Major excision soft tissue tumor	14	#	#
Major soft tissue repair for trauma	#	#	#
Other (skin/soft tissue/musculoskeletal)	154	5	#
Head and Neck
Cleft lip/palate repair	#	122	0
Thyroidectomy (any)	5	9	#
Parathyroidectomy (any)	2	2	#
Branchial cleft cyst/sinus	8	6	#
Thyroglossal duct cyst/sinus	7	17	#
Cystic hygroma/lymphangioma	4	2	#
Dermoid/other cyst	#	24	#
Major tumor (head and neck)	#	18	#
Other (head and neck)	#	495	#
Thoracic
Tracheostomy	2	36	#
Laryngeal or tracheal resection and/or reconstruction	#	#	#
Repair chest wall deformity	1	5	#
Resection chest wall tumor	1	#	#
Excision mediastinal cyst	#	#	#
Excision mediastinal tumor	#	#	#
Pulmonary resection: open	7	12	#
Pulmonary resection: scope	7	4	#
Thoracotomy for trauma	#	#	#
Lung biopsy: open	#	5	#
Lung biopsy: scope	#	#	#
Decortication/pleurectomy/blebectomy: open	#	8	#
Decortication/pleurectomy/blebectomy: scope	1	36	#
Esophageal resection or replacement	#	#	#
Esophagomyotomy	2	#	#

OPERATIVE PROCEDURES	UTMB	Driscoll	Shriners
Repair esophageal atresia/tracheoesophageal fistula	5	12	#
Thoracoscopy: other	#	#	#
Thoracotomy: other	#	25	#
Other (thoracic)	#	#	#
Diaphragm
Repair diaphragmatic hernia	4	13	#
Plication of diaphragm	1	8	#
Transthoracic and/or retroperitoneal exposure for scoliosis	1	#	#
Other (diaphragm)	#	#	#
Cardiovascular
Patent ductus arteriosus	8	78	#
Coarctation	#	21	#
Vascular ring	#	4	#
Any open heart procedure	#	200	#
Any closed heart procedure	#	#	#
Aortopexy	#	#	#
Renal artery reconstruction	#	#	#
Peripheral artery reconstruction	#	#	#
Construction or take down AV fistula/shunt	#	5	#
Surgical placement/removal central access line (any external or port)	73	337	#
Dialysis access insertion/removal	#	95	#
Cannulate/ECMO	8	39	#
Major vessel reconstruction	#	3	#
Vascular trauma	#	#	#
Vascular: post-operative exploration	#	25	#
Other (Cardiovascular)	#	#	#
Abdominal
Antireflux procedure: open	24	3	#
Antireflux procedure: scope	21	10	#
Pyloroplasty/gastric resection with or without vagotomy	9	1	#
Pyloroplasty/gastric resect with or without vagotomy: laparoscopic	#	#	#
Any gastrostomy/jejunostomy: open	34	46	#
Any gastrostomy/jejunostomy: scope	#	156	#
Pyloromyotomy: open	#	35	#
Pyloromyotomy: scope	20	20	#
Operation for malrotation	14	20	#
Duodenal atresia	2	8	#
Repair intestinal atresia, stenosis or web	9	1	#
Intestinal resection: open	16	#	#
Intestinal resection: scope	#	#	#
Intestinal resection/repair or ostomy for IBD	1	#	#
Intestinal resect/repair or ostomy for IBD: laparoscopic	#	#	#
Intestinal resection/repair or ostomy for trauma	#	#	#

OPERATIVE PROCEDURES	UTMB	Driscoll	Shriners
Intestinal resect/repair or ostomy for trauma: laparoscopic	#	#	#
Bowel resection: open	2	27	#
Bowel resection: scope	#	1	#
Laparotomy or resection for intussusception-malrotation- volvulus	10	15	#
Ostomy for anorectal malformation: open	4	8	#
Ostomy for anorectal malformation: laparoscopic	#	4	#
Ostomy for Hirschsprung's: open	#	11	#
Ostomy for Hirschsprung's: laparoscopic	#	5	#
Ostomy for other: open	#	8	#
Ostomy for other: laparoscopic	#	#	#
Closure/revision any ostomy/fistula: open	11	80	#
Closure/revision any ostomy/fistula: scope	#	#	#
Appendectomy: open	#	79	#
Appendectomy: scope	155	537	#
Perineal procedure for imperforate anus	10	10	#
Pull through for Hirschsprung's: open	2	5	#
Pull through for Hirschsprung's: scope	3	5	#
Pull through for IBD or polyposis: open	1	#	#
Pull through for IBD or polyposis: scope	#	#	#
Exploratory lap with or without biopsy: open	6	109	#
Exploratory lap with or without biopsy: laparoscopic	#	#	#
Excision of omental/mesenteric cyst	#	#	#
Omphalocele (any surgical repair)	1	5	#
Gastroschisis (any surgical repair)	20	13	#
Resection urachal remnant	12	5	#
Resection omphalomesenteric duct/cyst	#	4	#
Excision neuroblastoma/adrenal/other retroperitoneal tumor	#	5	#
Excision sacrococcygeal teratoma	2	1	#
Diagnostic laparoscopy	51	124	#
Adrenal: open	#	#	#
Adrenal: scope	#	#	#
Other (abdominal)	122	#	#
Hernia Repair
Pediatric repair inguinal hernia > 6 months	65	207	#
Infant repair inguinal hernia < 6 months	74	50	#
Repair umbilical hernia	89	37	#
Repair ventral hernia	4	#	#
Repair femoral hernia	2	#	#
Hernia repair: scope	69	#	#
Other (hernia repair)	21	12	#
Liver/Biliary
Major hepatic resection/repair: tumor	#	5	#
Major hepatic resection/repair: trauma	#	#	#

OPERATIVE PROCEDURES	UTMB	Driscoll	Shriners
Major hepatic resection/repair: other	1	#	#
Lysis of adhesions	#	12	#
Liver: biliary atresia	#	4	#
Liver biopsy: open	5	10	#
Liver harvest	#	#	#
Liver transplant	#	#	#
Cholecystectomy with or without common bile duct exploration: open	#	3	#
Cholecystectomy with or without common bile duct exploration: scope	14	81	#
Portoenterostomy	#	4	#
Excision choledochal cyst	#	1	#
Portosystemic shunts or other operations for portal hypertension	2	#	#
Pancreatic resection for: trauma	#	#	#
Pancreatic resection for: hyperinsulinism	#	#	#
Pancreatic resection for: tumor	1	1	#
Pancreas: other	#	#	#
Operations for pseudocyst	#	2	#
Splenorrhaphy	#	#	#
Splenectomy: open	1	#	#
Splenectomy: scope	#	1	#
Other (liver)	2	4	#
Genitourinary
Nephrectomy (total or partial): tumor	#	9	#
Nephrectomy (total or partial): trauma	#	#	#
Nephrectomy (total or partial/nephrorrhaphy) other	10	9	#
Nephrectomy (total or partial): other	4	3	#
Renal transplant	#	15	#
Renal: scope	#	#	#
Renal biopsy (open)	#	#	#
Cystectomy (total or partial)	#	#	#
Operation for nephro-uretero lithiasis	#	6	#
Enteric conduit (any)	#	6	#
Bladder augmentation or repair (any)	11	2	#
Pyeloplasty/UPJ reconstruction	11	30	#
Ureteral reconstruction/reimplantation	13	24	#
Reconstruct cloacal exstrophy	#	2	#
Circumcision (OR only)	368	365	3
Orchidopexy: open	84	258	#
Orchidopexy: scope	25	53	#
Orchiectomy	19	54	#
Operation for torsion testis or appendages	1	12	#
Operation for varicocele: open	1	#	#
Operation for varicocele: scope	#	24	#

OPERATIVE PROCEDURES	UTMB	Driscoll	Shriners
Procedures for intersex (vaginal reconstruction, clitoroplasty, etc.)	#	5	#
Vaginal procedures: open	21	#	#
Oophorectomy (total or partial)	5	42	#
Hysterectomy/salpingectomy: open	#	#	#
Hysterectomy/salpingectomy: scope	#	#	#
Repair complex laceration vagina/perineum	#	#	#
Other (genitourinary)	199	319	#
Endoscopic Procedures
Diagnostic thoracoscopy	#	#	#
Cystoscopy/colposcopy	31	#	#
Laryngoscopy/bronchoscopy	8	279	#
Esophagoscopy	8	38	#
Esophagoscopy: gastroscopy	#	#	#
Removal foreign body esophagus or trachea	15	92	#
Esophageal dilatation	14	47	#
Colonoscopy	1	4	#
Sigmoidoscopy	2	#	#
Other endoscopy	#	#	#
Trauma	#	#	2771
Non-operative trauma	227	310	502
Total Operative Experience	1739	5284	2795

	UTMB	Driscoll	Shriners
Non-operative Trauma of Major or Multi System trauma	10	335	480
NICU Critical Care	600	300	NA
PICU Critical Care	30	500	480
Abdominal/GI	127	145	NA
Thoracic	35	157	NA
Endoscopy	48	181	NA
Oncology	23	61	NA
GU/ARM/H&N	224	535	NA