Table Of ContentJones’ Clinical Paediatric Surgery
Jones’ Clinical
Paediatric Surgery
EditEd by
John M. Hutson
AO, Md, dSc (Melb), Md (Monash), FRACS, FAAP
department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
Chair of Paediatric Surgery, Royal Children’s Hospital, Parkville, Victoria, Australia
Michael O’Brien
Phd, FRCSi (Paed)
department of Paediatric Urology, Royal Children’s Hospital, Parkville, Victoria, Australia
Chief of division of Surgery, Royal Children’s Hospital, Parkville, Victoria, Australia
Spencer W. Beasley
MS, FRACS
Professor of Paediatric Surgery, Christchurch School of Medicine, University of Otago, Christchurch, New Zealand
Clinical director, department of Paediatric Surgery, Christchurch Hospital, Christchurch, New Zealand
Warwick J. Teague
dPhil (Oxon), FRACS
department of Paediatric and Neonatal Surgery, Royal Children’s Hospital, Parkville, Victoria, Australia
Sebastian K. King
Phd, FRACS (Paed)
department of Paediatric and Neonatal Surgery, Royal Children’s Hospital, Parkville, Victoria,
Australia
SevenTH ediTiOn
this edition first published 2015; © 2008, 2015 by John Wiley & Sons, Ltd.
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Library of Congress Cataloging-in-Publication Data
Jones’ clinical paediatric surgery / edited by John M. Hutson, Michael O’brien, Spencer W. beasley,
Warwick J. teague, Sebastian K. King. – Seventh edition.
p. ; cm.
Clinical paediatric surgery
includes bibliographical references and index.
iSbN 978-1-118-77731-2 (cloth)
i. Hutson, John M., editor. ii. O’brien, Michael (Pediatric urologist), editor. iii. beasley,
Spencer W., editor. iV. teague, Warwick J., editor. V. King, Sebastian K., editor.
Vi. title: Clinical paediatric surgery.
[dNLM: 1. Child. 2. infant, Newborn. 3. infant. 4. Surgical Procedures, Operative.
5. Pediatrics–methods. WO 925]
Rd137
617.9′8–dc23
2014028289
A catalogue record for this book is available from the british Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not
be available in electronic books.
Cover image: 06-22-05 © fkienas. Operation. Stock image:662290
Set in 8.5/12pt Meridien by SPi Publisher Services, Pondicherry, india
1 2015
Contents
Contributors, vii PART IV: Abdomen
Foreword to the first edition by 17 The Umbilicus, 117
Mark M Ravitch, viii
18 Vomiting in the First Months of Life, 121
Tribute to Mr Peter Jones, ix
19 Intussusception, 126
Preface to the seventh edition, x
20 Abdominal Pain: Appendicitis?, 130
Acknowledgements, xi
21 Recurrent Abdominal Pain, 136
22 Constipation, 139
PART I: Introduction
23 Bleeding from the Alimentary Canal, 142
1 Antenatal Diagnosis: Surgical Aspects, 3
24 Inflammatory Bowel Disease, 147
2 The Care and Transport of the newborn, 7
25 The Child with an Abdominal Mass, 153
3 The Child in Hospital, 13
26 Spleen, Pancreas and Biliary Tract, 158
27 Anus, Perineum and Female Genitalia, 164
PART II: Neonatal Emergencies
28 Undescended Testes and Varicocele, 171
4 Respiratory Distress in the newborn, 19
29 Inguinal Region and Acute Scrotum, 175
5 Congenital Diaphragmatic Hernia, 26
30 The Penis, 183
6 Oesophageal Atresia
and Tracheo-oesophageal Fistula, 30
7 Bowel Obstruction, 35 PART V: Urinary Tract
8 Abdominal Wall Defects, 45 31 Urinary Tract Infection, 191
9 Spina Bifida, 50 32 Vesico-ureteric Reflux (VUR), 197
10 Disorders of Sex Development, 57 33 Urinary Tract Dilatation, 202
11 Anorectal Malformations, 62 34 The Child with Wetting, 209
35 The Child with Haematuria, 215
PART III: Head and Neck
12 The Scalp, Skull and Brain, 69 PART VI: Trauma
13 The Eye, 80 36 Trauma in Childhood, 221
14 The Ear, nose and Throat, 91 37 Head Injuries, 228
15 Cleft Lip, Palate and Craniofacial Anomalies, 97 38 Abdominal and Thoracic Trauma, 235
16 Abnormalities of the neck and Face, 106 39 Foreign Bodies, 241
v
vi Contents
40 The Ingestion of Corrosives, 247 PART VIII: Chest
41 Burns, 249 47 The Breast, 287
48 Chest Wall Deformities, 290
PART VII: Orthopaedics
49 Lungs, Pleura and Mediastinum, 294
42 neonatal Orthopaedics, 257
43 Orthopaedics in the Infant and Toddler, 262 PART IX: Skin and Soft Tissues
44 Orthopaedics in the Child, 267 50 Vascular and Pigmented naevi, 303
45 Orthopaedics in the Teenager, 275 51 Soft Tissue Lumps, 308
46 The Hand, 280 52 Answers to Case Questions, 311
Index, 317
Contributors
Spencer W. Beasley, MS, FRACS Chair of Paediatric Surgery
Professor of Paediatric Surgery, Christchurch School Royal Children’s Hospital
of Medicine, University of Otago Parkville, Victoria, Australia
Clinical Director, Department of Paediatric Surgery,
Christchurch Hospital Bruce R. Johnstone, FRACS
Christchurch, New Zealand Department of Plastic and Maxillofacial Surgery
Royal Children’s Hospital
Robert Berkowitz, MD, FRACS Parkville, Victoria, Australia
Department of Otolaryngology
Royal Children’s Hospital Sebastian K. King, PhD, FRACS
Parkville, Victoria, Australia Department of Paediatric and Neonatal Surgery
Royal Children’s Hospital,
Thomas Clarnette, MD, FRACS Parkville, Victoria, Australia
Department of Paediatric and Neonatal Surgery
Royal Children’s Hospital Wirginia J. Maixner, FRACS
Parkville, Victoria, Australia Neuroscience Centre
Royal Children’s Hospital
Joe Crameri, FRACS Parkville, Victoria, Australia
Department of Paediatric and Neonatal Surgery
Royal Children’s Hospital Michael O’Brien, PhD, FRCSI (Paed)
Parkville, Victoria, Australia Department of Paediatric Urology;
Chief of Division of Surgery
James E. Elder, FRACO, FRACS Royal Children’s Hospital
Department of Ophthalmology Parkville, Victoria, Australia
Royal Children’s Hospital
Parkville, Victoria, Australia Anthony J. Penington, FRACS
Professor of Plastic Surgery
Kerr Graham, MD, FRCS (Ed) Royal Children’s Hospital
Professor of Orthopaedics Parkville, Victoria, Australia
Royal Children’s Hospital
Parkville, Victoria, Australia Russell G. Taylor, FRACS
Department of Paediatric and Neonatal Surgery
Anthony Holmes, FRACS Royal Children’s Hospital
Diplomate, American Board of Plastic Surgery; Parkville, Victoria, Australia
Plastic and Maxillofacial Surgery Department
Royal Children’s Hospital Warwick J. Teague, DPhil (Oxon), FRACS
Parkville, Victoria, Australia Department of Paediatric and Neonatal Surgery
Royal Children’s Hospital
John M. Hutson, AO, MD, DSc (Melb), MD (Monash), Parkville, Victoria, Australia
FRACS, FAAP
Department of Paediatrics
University of Melbourne
Melbourne, Victoria, Australia
and
vii
Foreword to the First Edition
The progressive increase in the body of information that give rise to a specific symptom – Vomiting in the
relative to the surgical specialities has come to present a First Month of Life, The Jaundiced Newborn Baby,
vexing problem in the instruction of medical students. Surgical Causes of Failure to Thrive. The chapter on
There is only enough time in the medical curriculum to genetic counselling is a model of information and
present an overview to them, and in textbook material, good sense.
one is reduced either to synoptic sections in textbooks of The book is systematic and thorough. A clean style,
surgery or to the speciality too detailed for the student logical sequential discussions and avoidance of esoterica
or the non-specialist in complete and authoritative allow the presentation of substantial information over
textbooks. the entire field of paediatric surgery in this comfortable-
There has long been a need for a book of modest size sized volume with well-chosen illustrations and carefully
dealing with paediatric surgery in a way suited to the selected bibliography. Many charts and tables, original in
requirements of the medical student, general practitioner conception, enhance the clear presentation.
and paediatrician. Peter G. Jones and his associates from No other book so satisfactorily meets the need of the
the distinguished and productive group at the Royal student for broad and authoritative coverage in a mod-
Children’s Hospital in Melbourne have succeeded in est compass. The paediatric house officer (in whose
meeting this need. The book could have been entitled hospital more than 50% of the patients are, after all,
Surgical Conditions in Infancy and Childhood, for it deals surgical) will be serviced equally well. Paediatric sur-
with children and their afflictions, their symptoms, diag- geons will find between these covers an account of the
nosis and treatment rather than surgery as such. The attitudes, practices and results of one of the world’s
reader is told when and how urgently an operation is greatest paediatric surgical centres. The book comes as a
required, and enough about the nature of the procedure fitting tribute to the 100th anniversary of the Royal
to understand its risks and appreciate its results. This is Children’s Hospital.
what students need to know and what paediatricians and
general practitioners need to be refreshed on. Mark M. Ravitch
Many of the chapters are novel, in that they deal Professor of Paediatric Surgery
not with categorical diseases but with the conditions University of Pennsylvania
viii
