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Chapter-09 Basic Paediatric Surgery

BOOK TITLE: Hutchison's Paediatrics

Author
1. Gupta Devendra K
2. Sharma Shilpa
ISBN
9788184485868
DOI
10.5005/jp/books/10367_9
Edition
1/e
Publishing Year
2009
Pages
17
Author Affiliations
1. All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India, All India Institute of Medical Sciences New Delhi, India, All India Institute of Medical Sciences (AIIMS), New Delhi, India, Superspecialty Pediatric Hospital and Postgraduate Teaching Institute Noida, Uttar Pradesh, India
2. All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India, All India Institute of Medical Sciences, New Delhi, Postgraduate Institute of Medical Education and Research, Dr RML Hospital, PhD Scholar, All India Institute of Medical Sciences New Delhi, India, Postgraduate Institute of Medical Education and Research, Dr RML Hospital, PhD Scholar, All India Institute of Medical Sciences New Delh, India, Postgraduate Institute of Medical Sciences and DR RML Hospital, New Delhi, India, 416 Administration Block, PGIMER, Dr RML Hospital, Baba Kharg Singh Marg, Connaught Place, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi 280, Deepali Enclave Pitampura, Delhi -110034, All India Institute of Medical Sciences, (AIIMS), New Delhi, India
Chapter keywords

Abstract

This chapter deals with the overview of paediatric surgical ailments, their manifestation, and diagnosis. The beside history taking skills and the essential preoperative and post operative care required for such patients is described. By getting detailed history it may be possible to exclude many conditions mimicking each other, and avoid unnecessary investigation and in short reduce the medical care cost and reduce the time between presentation and onset of treatment. Preoperative and postoperative care are very important for successful management of the surgical patient. It is a must for every medical practitioner to know about paediatric surgical illness for timely diagnosis, appropriate management, safe transportation and referral to higher centres for complicated illnesses needing tertiary level care. The later part of the chapter deals with fluid and electrolyte management for successful management of the surgical children. Fluid management in the preoperative period is divided into replacing the preoperative fluid deficit, ongoing maintenance requirements and replacement of intraoperative losses, continuing into the postoperative period. Adequate knowledge of the fluid and electrolyte management of the surgical newborn, infant or child is mandatory for the optimal care of the surgical patient.

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