The Pediatric General Surgery program at Johns Hopkins All Children’s Hospital offers a wide range of specialty and subspecialty surgical care to children, teenagers and young adults in the Tampa Bay and Gulf Coast regions of Florida. Our board-certified, fellowship-trained pediatric surgeons perform the full spectrum of pediatric surgical procedures, from the common to the complex. Below are some of the surgical procedures we offer at our hospital, along with videos that may help you or your child prepare for surgery.
Common Procedures Offered
The surgical removal of the appendix that is performed when a child displays symptoms of appendicitis. An appendectomy used to be a large and complex operation, but minimally invasive surgery now allows the appendix to be removed in pediatric patients through three small incisions. This video shows an appendectomy in a patient who had presented with perforated appendicitis, was treated with antibiotics for a few weeks, and then operated on laparoscopically.
Some patients with complex medical problems or other conditions suffer from chronic constipation. Rather than subject these children to daily enemas, this procedure provides a way for the parent of caregiver to easily flush the stool out of the colon each day.
Central venous port and catheter placement
A procedure to facilitate chemotherapy and blood sampling. Central venous lines make it possible for a child to be as comfortable as possible while receiving long-term intravenous care by avoiding the need for frequent “needle pricks.”
An operation to remove the gallbladder, the organ that stores digestive fluid from the liver. This procedure may be necessary for those who experience pain from gallstones.
Cholecystectomy, Single Incision Laparoscopic
Using leading-edge technology, we can now remove the gallbladder through a single incision in the belly button. This results in a scar that is almost invisible.
Surgical removal of some of the foreskin so that the glans (or tip) of the penis becomes visible.
The operation to correct CDH, a rare condition that occurs when the diaphragm (the muscle separating the chest from the abdomen) does not form properly during fetal development.
Procedures that use special viewing devices and instruments to view the esophagus and the trachea (windpipe) to diagnose and treat.
Excision of skin lesions
Removal of skin lesions, including lumps, sores, skin cancer and other abnormal areas.
Enteric Cyst Excision
In this surgery, minimally invasive techniques were used to excise a cystic duplication of the intestine (a congenital abnormality of the intestine) in a pediatric patient.
Some pediatric patients suffer from gastroesophageal reflux disease (GERD), which is a severe form of "heartburn" that can be life-threatening in some children. Using minimally invasive techniques, surgeons are able to wrap the stomach around the esophagus to help prevent the reflux from occurring.
Procedure used to treat tongue tie (ankyloglossia), a condition that may cause feeding or speech difficulties.
Gastroschisis is a birth defect that causes internal organs to push outside of a baby’s body through an opening in the abdominal wall.
Repair of a hydrocele, a condition that causes the scrotum to swell with fluid.
A common procedure to correct inguinal hernia, a hernia that occurs in the groin region. There are many different approaches to the common problem of inguinal hernia in the pediatric age group. The "Eversion Technique," shown in this video, is one of the minimally invasive methods of repair.
Inguinal Hernia Repair: Intracorporeal Suturing Technique
Another minimally invasive method of repairing inguinal hernia, called the intracorporeal suturing technique, involves sewing the hernia closed from the inside of the abdomen using 2-mm instruments and a tiny camera.
Biopsy used to diagnose the cause of persistent lymph node enlargement.
Minimally invasive repair of pectus excavatum, also known as the Nuss procedure. With the Nuss procedure, the sunken chest condition can be corrected by a technique that involves insertion of a bar to splint the chest in a more appropriate position.
Minimally invasive surgery to correct pyloric stenosis, a thickening in the muscle at the end of the stomach called the pylorus. In small babies, this thickening of the pylorus muscle can prevent food from leaving the stomach and cause vomiting. Minimally invasive techniques and very small instruments allow us to open the pylorus enough for babies to enjoy eating again.
Pyloromyotomy (Alternative Knife)
Another technique used for performing the operation for pyloric stenosis.
Single Port Laparoscopic Repair of a Diaphragmatic Hernia
A diaphragmatic hernia is a congenital defect in the diaphragm that allows the abdominal organs to herniate into the chest. In this video, one of these hernias is repaired in a child using a single laparoscopic port in the belly button. This represents the very latest in minimally invasive surgical technology.
Surgery to remove the spleen, an organ located in the upper left side of the abdomen, just behind the bottom of the rib cage.
Spleen Surgery: Partial Excision of a Splenic Cyst
Splenic cysts can be of many types (for example: simple cysts, post trauma, post infection). Where a splenic cyst excision would have been a major operation in the past, minimally invasive techniques now allow many of these cysts to be addressed through three or four small incisions using the laparoscope.
Splenopexy for a Wandering Spleen
Wandering spleen is a rare pediatric condition, but if untreated the complications can be devastating. A new laparoscopic surgical technique has been developed to anchor the spleen in a retroperitoneal pocket thereby avoiding an open incision as well as any prosthetic patches, as has been used in the past.
Surgery for congenital defects of the gastrointestinal (GI) tract and abdominal wall
Including operations for inflammatory bowel disease, gastrointestinal bleeding, and short bowel syndrome, a condition in which the body cannot absorb enough nutrients because part of the small intestine is not working properly or missing.
Inflammatory bowel disease is a group of conditions that result in inflammation of the small and large intestines. The two most common types of inflammatory bowel disease in children are Crohn’s disease and ulcerative colitis.
Surgery for neck masses, such as enlarged lymph nodes and congenital abnormalities like epidermoid cysts, thyroglossal duct cyst and branchial cleft cyst.
Surgery to remove large cysts and solid masses of the ovaries. Advances in minimally invasive surgery have led to instruments that are only 2 mm in diameter, which allows laparoscopic operations on patients even as small as infants. In this case, a newborn baby with feeding difficulties was found to have a large ovarian cyst, which was removed with laparoscopic surgery.
Biopsy and surgical removal of solid tumors, including lymphoma, neuroblastoma, Wilms tumor, hepatoblastoma and connective tissue sarcomas such as rhabdomyosarcoma, as well as thyroid carcinoma.
Surgery for all types of trauma
Specialized emergency surgery for blunt trauma, penetrating injuries and burns.
Thoracoscopic Excision of Esophageal Duplication
Some children are born with or develop cystic lesion in the mediastinum (or central portion of the chest cavity). This video shows the removal of one such lesion a video scope and three small incisions on the chest wall. The lesion turned out to be an esophageal duplication cyst.
Thoracoscopic Congenital Diaphragmatic Hernia Repair
Some babies are born with a hole in the diaphragm, which allows contents of the abdomen to move up into the chest. In the past, these babies need to have a large incision in the abdomen or chest to allow the surgeon to repair the hole in the diaphragm. Using minimally invasive techniques, the surgeons at Johns Hopkins All Children's Hospital can in many cases perform the entire repair through incisions only 3 to 5 mm in size.
Thoracoscopic Sympathectomy for Hyperhidrosis
In the condition called hyperhidrosis, patients suffer debilitating palm and/or feet sweating. Using minimally invasive techniques, this condition can be treated with sympathectomy.
Thoracoscopic Lung Resection
A portion of the lung may need to be resected for many reasons. Minimally invasive techniques allow us to perform the surgery with three small incisions. In this case, a teenager was found to have a 2cm nodule on the lung.
Thoracoscopic Treatment of Pneumothorax
Some children suffer spontaneous pneumothorax (collapse of the lung). This is often due to a bleb (bubble) on the surface of the lung, which pops and leaks air. Using thoracoscopy, this diseased area of the lung can be removed and steps can be taken (pleurectomy and pleurodesis) to minimize the chance of a dangerous tension pneumothorax from developing in the future.
Surgery to repair umbilical hernia, a hernia that causes a hole under the belly button.
Schedule an appointment online or call 727-767-4170, or 800-456-4543, ext. 4170, for more information.