Common Pediatric Surgical Procedures Explained

As a parent or guardian, it’s natural to feel anxious about your child undergoing surgery. Even routine procedures can be a source of worry. Understanding what to expect can help ease your mind and prepare you for your child’s recovery.

In this article, we’ll walk you through some of the most common pediatric surgical procedures, giving you a clearer idea of how to best care for your child through the process.

1. Appendectomy

One of the most frequent urgent pediatric surgeries is an appendectomy, performed when a child’s appendix becomes inflamed due to appendicitis. If left untreated, the appendix can burst, leading to potentially life-threatening complications.

In this procedure, the surgeon removes the inflamed appendix, often using laparoscopic techniques. Laparoscopic surgery involves small incisions and a camera to guide the surgeon. It generally results in faster recovery and less scarring.

Children who undergo a laparoscopic appendectomy can typically return home within a day or two and resume normal activities within a few weeks.

Real-life scenario: Imagine your child suddenly complains of sharp pain in the lower right side of their abdomen. After a quick hospital visit, they’re diagnosed with appendicitis and need urgent surgery. Knowing that a laparoscopic appendectomy is a routine and low-risk procedure can offer reassurance during this stressful time.

2. Hernia Repair

Hernias occur when an internal portion of the body pushes through a hole in the muscle of the abdominal wall, creating a noticeable bulge. Hernias are quite common in children, especially in boys. 

The two most common types of hernias that affect children are inguinal hernias (in the groin) and umbilical hernias (at the “belly button”). Inguinal hernias are more severe because they can trap part of the intestine, leading to complications if untreated.

The surgery to repair a hernia involves repositioning the protruding structure and closing the hole in the muscle wall. Like many pediatric surgeries, hernia repairs often use minimally invasive techniques, which help reduce discomfort and speed up recovery.

Example 1: If you notice a bulge at  your baby’s belly button when he or she cries, it is most likely an umbilical hernia. While many umbilical hernias heal spontaneously, others may need surgical intervention to close the hole in the muscle to prevent complications.

Example 2: If you notice a bulge in your child’s groin when he or she cries, it may be an inguinal hernia. This should be evaluated by the child’s doctor, because inguinal hernias carry a risk of trapping the intestine and will need to be repaired to prevent complications..

Other Common Conditions That May Require Surgery

Here are some other conditions that may also require surgical intervention, depending on the severity:

• Hydrocele: A fluid-filled sac around the testicle, often seen in newborns. While most cases resolve without treatment, some may need surgery if the condition persists.
• Pyloric stenosis: A condition in infants where the passage between the stomach and small intestine becomes narrowed, causing vomiting and dehydration. Surgery to widen the opening allows food to pass through unobstructed.
• Esophageal atresia: A congenital defect where the esophagus doesn’t connect properly to the stomach. Surgery is required shortly after birth to correct this issue.

What to Expect After Surgery

Recovery times vary depending on the type of surgery your child undergoes, but here are some general tips for helping them heal:

1. Follow instructions closely: Your child’s surgeon will provide detailed aftercare instructions, including how to manage pain, clean incisions, and look for signs of infection.
2. Encourage rest: Your child will need time to recover. Plan for some time away from school or daycare, and limit strenuous activities until they’re fully healed.
3. Monitor for complications: Watch out for warning signs, such as fever, excessive swelling, or unusual behavior. Don’t hesitate to call your child’s doctor if you’re concerned about their recovery.

Supporting Your Child Through Surgery

Having your child undergo surgery can feel overwhelming, but knowing that these are standard procedures and that you have a dedicated specialized surgical team on your side can help you navigate this experience with confidence. At Pacific Coast Pediatric Surgery, we’re not just here to treat your child—We’re here to guide you through the entire process, providing medical expertise and emotional support. When it comes to your child’s health, we’re with you every step of the way.

How We Care for Your Child

At Pacific Coast Pediatric Surgery, we understand the concerns that come with pediatric surgery. Our dedicated team, led by Dr. Philip Frykman, specializes in a wide range  pediatric surgical procedures, from hernia repairs to more complex cases, such as esophageal atresia. With decades of experience and a compassionate approach, we work closely with families to ensure that every child receives the highest standard of care. Learn more about our services at the Pacific Coast Pediatric Surgery website.