عنوان انگلیسی مقاله:
General surgery of childhood in the UK: a general surgeons perspective
ترجمه فارسی عنوان مقاله:
جراحی عمومی کودکی در انگلستان: دیدگاه یک جراح عمومی
Sciencedirect - Elsevier - Journal of Pediatric Surgery 55 (2020) 213–217
Andrew C Gordon a, Mark Davenport b,⁎
The future of general surgery of children as practiced in District General (DGHs) and Rural General Hospitals
(RGHs) by adult general surgeons and urologists is uncertain. It is likely that this is because of a combination
of the overall trend towards specialization, concerns about clinical risk; uncertainty within the profession
about the behavior of the regulator and criminal justice systemwhen considering cases of alleged incompetence;
reduced andmore targeted training time, curriculumchanges, and perhaps a concern by other specialties regarding
the ability of DGH and RGH surgeons to provide a safe service.
The impact of this on regional pediatric surgical units (RPSUs) is however considerable. While transfer of some
conditions such as infantile hypertrophic pyloric stenosis and intussusception is justifiable, transfer of others
such as undescended testis and suspected torsion is not.
Close communication between regional specialists and local generalists, preferably in the setting of a formal network,
together with a change in the priorities of local medical and nonmedical managers and cooperation between
competing Trusts is required. Strategies for dealing with the problem are available but require a change
in management and National Health Service (NHS) ethos to enact effectively.
Adherence to evidence-based best practice with the help of the “Getting It Right First Time (GIRFT)” initiative is
vital and, together with targeted publicity and encouragement, the trend may not be irreversible.
Level of evidence: Level V.
Key words: General surgery of childhood | Pediatric surgery | Orchidopexy