Pediatric Surgery Department

Message from the Director of the Department

As the medical service provides at the internal department and the surgical department for adult patients, not only the pediatric department and but also the surgical department for sick children must be kept in the hospital. Pediatric surgery is the specialized department for children for whom we diagnose and treat diseases requiring surgery. Special knowledge and skills different from those for adult patients must be asked for the surgical treatment for children because not only is a child’s body smaller but the organs of children are premature. We provide medical and surgical care for pediatric patients from newborns (a case of prenatal diagnosis is fetus) to adolescence, entrusting surgeons to heal sick children left and to continue following up our patients even after they reach adulthood, depending on the disease.

Pediatric Surgery Department
Terutaka Tanimoto

Scope of Target Disease

Body surface: inguinal hernia, umbilical hernia, (protruding naval), median cervical cyst, funnel chest, etc.
Neonatal diseases: diaphragmatic hernia, exomphalos / hernia of the umbilical cord, gastroschisis, esophageal atresia, intestinal atresia, malrotation, meconium peritonitis, etc.
Digestive system diseases: anorectal anomaly, Hirschsprung’s disease, hypertrophic pyloric stenosis, Meckel’s diverticulum, gastroesophageal reflux, biliary atresia, congenital biliary dilatation, bowel intussusception, acute appendicitis, etc.
Respiratory diseases: congenital cystic lung disease (CCAM, pulmonary sequestration, etc.), tracheal and bronchial stenosis and malacia, etc.
Genitourinary diseases: cryptorchidism, hydronephrosis and hydroureter, vesicoureteral reflux, hypospadias, etc.
Solid tumors: surgery of malignant and benign solid tumors such as neuroblastoma, hepatoblastoma, nephroblastoma (Wisms tumor), rhabdomyosarcoma, (malignant) teratoma/p>

Features and Description of Medical Care

・Aiming at less invasion, functional preservation, and unnoticeable operative wounds, we are willing to introduce techniques such as endoscopic surgery and microsurgery.
・We provide short-term inpatient clinical services for patients with inguinal hernia, umbilical hernia, and cryptorchidism.
・As for the treatment of congenital biliary dilatation, the department has had world-leading performance by virtue of the word of Professor Takuji Todani, known as the founder of Todani’s classification. Using an operative method by which total excision of the extrahepatic biliary tract and end-to-end anastomosis between the hilar hepatic duct and jejunum, we make every effort to reduce the incidence of postoperative complications and postoperative development of biliary cancer.
・In many cases, neonatal diseases are highly acute. Therefore, they are managed in the NICU. When a disease is diagnosed before birth, the therapeutic strategy is discussed in conference with physicians from obstetric and pediatric (neonatal) departments.
・For childhood malignant solid tumors, we provide multidisciplinary treatment that are appropriate to the stage, conducted in cooperation with pediatric and radiological departments.
・To improve the QOL of children with severe motor and intellectual disabilities, we perform gastrostomy, antireflux surgery, and laryngo-tracheal separation.
・We also prepare and improve treatments for pediatric urological diseases. Treatment plans of vesicoureteric reflux (VUR) vary among conservative management, endoscopic surgery, and conventional treatment, depending on the degree of disease severity. Regarding hypospadias, we perform a radical procedure, in principle. When hypospadias develops to a high degree, we sometimes perform surgeries twice.

For outpatient visits

A child undergoing a growth process shows physiological changes different from those of an adult. We must treat children with understanding of their physiological change. Even for children, an infant at birth differs much from a child at elementary school or junior high school in terms of both body size and physique. We, pediatric surgeons, make a daily effort to provide medical care with understanding the physiological features of children. Children are affected by various diseases requiring surgery, some of which need immediate operations and some of which can be followed up until the surgical procedure. We give detailed information related to surgery’s necessity and postoperative effects to parents (including the patient, depending on age) and obtain parents’ consent before providing surgical treatment. Please consult us about surgical treatment of your sick child without hesitation.

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