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Related Experiment Video

Updated: May 13, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
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Published on: July 8, 2025

Paediatric surgery--a general hospital experience.

E Fahy1, K Ahmed, A J Lowery

  • 1Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo.

Irish Medical Journal
|March 19, 2013
PubMed
Summary

Paediatric surgery is a significant workload in district hospitals, comprising 7.4% of all surgeries. Continued regional provision is essential, with specialist centres for complex cases.

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Last Updated: May 13, 2026

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03:57

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Published on: July 8, 2025

Area of Science:

  • Pediatric Surgery
  • Health Services Research

Background:

  • Centralization of pediatric surgery services in Ireland may impact service delivery and training.
  • Understanding the workload in district general hospitals is crucial for planning.

Purpose of the Study:

  • To assess the workload of pediatric surgery in a district hospital over a five-year period.
  • To evaluate the volume and types of pediatric surgical procedures performed.

Main Methods:

  • Retrospective review of pediatric surgical admissions and procedures at Mayo General Hospital (2006-2010).
  • Data sourced from Hospital Inpatient Enquiry (HIPE) systems and theatre logbooks.

Main Results:

  • 4,255 procedures were performed on 3,981 pediatric patients, representing 7.4% of the total surgical workload.
  • 65% of cases were elective, while 35% were emergencies.
  • Appendectomy was the most frequent procedure (n=554) with a 2.5% complication rate; no pediatric surgery-related mortalities occurred.

Conclusions:

  • Pediatric surgery constitutes a substantial portion of the surgical workload in district hospitals.
  • General pediatric surgical services should be maintained in regional settings.
  • Access to specialist centers is vital for managing complex pediatric surgical cases.