AI Article Synopsis
- In Ireland, paediatric surgery is primarily conducted in Dublin's specialist hospitals, while regional centers rely on general surgeons without specific pediatric training.
- A study at a regional center revealed that 14.8% of surgical patients were under 14 years old, with over 2,154 procedures performed, indicating a significant demand for paediatric care.
- The findings emphasize the necessity for formal paediatric services and improved training for general surgeons to address this growing need in regional areas.
Article Abstract
Background: In Ireland, specialist paediatric surgery is carried out in paediatric hospitals in Dublin. General surgeons/consultants in other surgical specialities provide paediatric surgical care in regional centres. There has been a failure to train general surgeons with paediatric skills to replace these surgeons upon retirement.
Aim: To assess paediatric surgical workload in one regional centre to focus the debate regarding the future provision of general paediatric surgery in Ireland.
Methods: Hospital in-patient enquiry (HIPE) system was used to identify total number of paediatric surgical admissions and procedures. Cases assessed requiring hospital transfer.
Results: Of 17,478 surgical patients treated, 2,584 (14.8%) were under 14 years. A total of 2,154 procedures were performed.
Conclusion: Regional centres without dedicated paediatric surgeons deliver care to large numbers of paediatric patients. The demand for care highlights the need for formal paediatric services/appropriate surgical training for general surgical trainees.
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| http://dx.doi.org/10.1007/s11845-009-0412-7 | DOI Listing |
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