Pediatric Surgical Care
- In Wisconsin, pediatric umbilical hernias are often performed at younger ages than evidence-based best practices recommend, and earlier on average than in other states.
- When pediatric appendicitis is diagnosed and treated using techniques developed for adults, children may be subject to unnecessary radiation and open surgical procedures.
- Many common pediatric surgical procedures require little or no opioid pain medication when evidence-based pain management strategies are successfully deployed. However, Wisconsin children receive high rates of postoperative opioid prescriptions.
How can SCW help?
- Offer teleconferences to engage surgeons in collaborative learning opportunities focused on current guidelines and best practices. Suggested new topics and guidance from SCW members are welcome at any time.
- Work with pediatric surgeons from Children’s Hospital of Wisconsin and American Family Children’s Hospital to communicate changes in national practice guidelines and best practices.
- Provide pediatric specialist support for general surgeons
- Initial topics will include:
- Umbilical Hernia Repair: We will discuss timing of repair, surgical techniques including contraindications to using mesh, and appropriate postoperative opioid prescribing.
- Appendicitis: We will discuss the utilization of ultrasound as the primary modality for diagnosis, use of perioperative antibiotics and appropriate opioid prescribing, and surgical techniques to maximize the success of laparoscopic approaches while reducing costs.
Interested in Participating?
- Click here to learn how you can join.
- We welcome participation by surgeons, nurses quality improvement specialists, and others involved in the surgical care of children.
Jonathan Kohler, MD, MA, FACS
University of Wisconsin
Pediatric Umbilical Hernia Repair Videos
Pediatric umbilical hernia repairs are among the most common procedures performed on children, in Wisconsin and across the country. A recent best practice guideline from the American Academy of Pediatrics and the Choosing Wisely campaign advises that asymptomatic pediatric umbilical hernias should not be repaired until age 4-5 years, because many will close spontaneously. In Wisconsin, umbilical hernias have frequently been repaired at younger ages than in many areas of the country. Our goal is provide surgeons, primary care doctors, and parents with the tools they need to make evidence-based decisions about when to repair a child’s umbilical hernia.
On this page, you will find a recorded connected learning module for surgeons about best practices in umbilical hernia repair, which you can just watch or watch for CME credit. We also have a series of shorter resource videos for surgeons, primary care providers, and parents. Please feel free to share widely with your colleagues and patients.
Why Pediatric Surgical Care?
Many surgical procedures on Wisconsin children are performed in community hospitals by general surgeons, with umbilical hernia and appendectomy being the most commonly performed.
Evidence-based guidelines have impact
There is evidence that best practices for performing these procedures in pediatric populations are not consistently followed in Wisconsin.
Ensure equal access to high-quality surgical care
Collaborative learning will provide general surgeons with access to pediatric surgery specialists from Wisconsin’s children’s hospitals, creating a forum for discussion of best practices and technical tips and tricks.