title: [Surgery in childhood at the hospital for basic and routine general management].
abstract: Pediatric surgery in general surgical hospitals involves treatment of blunt thoracic trauma, blunt abdominal trauma and acute abdominal and inguinal surgery. Special surgical techniques are: opening of the bursa omentalis to detect pancreas ruptures; partial liver resections in deep organ ruptures instead of wound readaptation due to postoperative bleeding, gall bladder fistulae and rising infections; organ-protecting spleen resections. Appendectomy is indicated in children in cases of non-inflammatory, congenital chronic abdominal pain (dissociated visceral growth); side-to-side anastomosis is contraindicated because of the "blind-loop syndrome". The megacolon detected intraoperatively has seven different causes necessitating a colostomy and further diagnostic procedures in special hospitals. Incarcerated hernias in newborns have a 6-times higher recurrence rate, Bassini operations are contraindicated.
authors.affiliation: Klinik und Poliklinik für Kinder- und Neugeborenenchirurgie, Münster.
authors.forename: G H
authors.initials: GH
authors.lastname: Willital
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology / Q000601:surgery*; D000007:Abdominal Injuries / Q000209:etiology / Q000601:surgery*; D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006552:Hernia, Inguinal / Q000209:etiology / Q000601:surgery*; D006769:Hospitals, General; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007410:Intestinal Diseases / Q000209:etiology / Q000601:surgery; D008099:Liver / Q000293:injuries / Q000601:surgery; D008297:Male; D010179:Pancreas / Q000293:injuries / Q000601:surgery; D010348:Patient Care Team; D012421:Rupture; D013898:Thoracic Injuries / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery*
vernacular_title: Chirurgie im Kindesalter im Krankenhaus der Grund- und Regelversorgung.