Surgical Problems of Children with Physical Disabilities
Disabled children with special health-care needs (CSHCN) may have a variety of medical conditions requiring often a multidisciplinary treatment. The most commonly faced by the pediatric surgeon are cerebral palsy, Down syndrome, and Spina bifida.
Surgical care providers need to evaluate issues that may impact perioperative decision-making carefully when treating CSHCN as they have or are at risk for chronic, physical, developmental, behavioral, or emotional conditions. The surgeon caring for these children must not only anticipate the unique intraoperative and postoperative potential challenges for CHSCN but also the impact of the child’s condition on the whole family life.
KeywordsCerebral palsy Spina bifida Down syndrome Pediatric surgery CSHCN
- American Academy of Pediatrics Committee on Bioethics. Ethics and the care of critically ill infants and children. Pediatrics. 1996;98(1):149–52.Google Scholar
- Benzel EC, AANS Publications Committee. Surgical exposure of the spine: an extensile approach. Park Ridge: American Association of Neurological Surgeons; 1995.Google Scholar
- Delgado MR, et al. Practice parameter: pharmacologic treatment of spasticity in children and adolescents with cerebral palsy (an evidence-based review): report of the quality standards Subcommittee of the American Academy of neurology and the practice Committee of the Child Neurology Society. Neurology. 2010;74(4):336–43.PubMedPubMedCentralCrossRefGoogle Scholar
- Evans AM, Barklam D, Hone K, Ellis G, Whitlock J. Reducing pressure damage: care bundles and collaborative learning. Br J Nurs. 2013;22(12):S32, S34–8.Google Scholar
- Hoppenfeld S, DeBoer P, Buckley R. Surgical exposures in orthopaedics: the anatomic approach. 4th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2009.Google Scholar
- Ibrahim M, Ismail NJ, Mohammad MA. Managing fecal incontinence in patients with myelomeningocele in sub-Saharan Africa: role of antegrade continence enema (ACE). J Pediatr Surg. 2016;S0022-3468(16):30290–1.Google Scholar
- Vernon-Roberts A, Sullivan PB. Fundoplication versus postoperative medication for gastro-oesophageal reflux in children with neurological impairment undergoing gastrostomy. Cochrane Database Syst Rev. 2013;(8):CD006151.Google Scholar