Rigshospitalet’s
Department of Paediatric Surgery has national and regional functions; all
surgery on children under the age of 2 must be performed at Rigshospitalet for
anaesthesiological reasons within paediatric surgery.
The department has
national and regional functions in Denmark for the following diseases:
- Bladder ectopy
- Epispadias
- Urogenal sinus
- Severe malformations in the tractus genitalis
- Atresia ani
- Congenital abnormalities in the digestive tract
- Congenital abnormalities in the upper and lower urinary tract
- Neonatal and prenatal urology
- Bilateral abdominal testicular retention
- Hypospadia
- Solid soft tissue tumours
- Urological problems in connection with myelomeningocele
- Intersex conditions
Paediatric surgery includes diagnostic evaluation, treatment and
check-up of children with congenital and acquired diseases and injuries in the
oesophagus, the digestive tract, liver, the biliary tract, pancreas, urinary
tract and genital organs. Below is a list of some of the diseases the department
treats.
- Biliary tract atresia - a congenital defect in the biliary tract
- Gastroschisis - a congenital abdominal wall defect
- Hypospadia - boys with this disease have the opening for urine on the
underside of the penis
- Hydronephrosis - distention of the renal pelvis
- Oesophageal atresia - a congenital defect of the oesophagus
- Morbus Hirschsprung - a congenital malformation of the rectum
- Testicular retention - undescended testes
- Eructation and vomiting
In addition the Department of Paediatric Surgery offers a wide range of
treatments in the specialist outpatient departments.
Specialist
outpatient departments
Paediatric gastroenterology outpatient department
An outpatient department for children with discomforts in the
oesophagus and stomach
Patient categories:
- Gastro-Oesophageal Reflux (GOR)
- Eating and swallowing difficulties
- Vomiting and difficulties emptying the stomach
- Obstipation and slow barium swallow
- Defecation problems
The examination programme consists of:
- Oesophagogastroduodenoscopy
- 24-48 h oesphageal pH-/motility examination
- Oesophageal manometry
- X-ray examination of the digestive tract
- Anorectal manometry
- Colonic manometry
- Determination of colonic transit time
Biliary tract atresia outpatient department
An
independent nursing care outpatient department for children suffering from
biliary tract atresia
VIBU - Specialist outpatient
department
Knowledge and Practice Centre for Incontinence in Children and
Young People treats and nurses the following diseases in
children:
Constipated children
- Many children suffer from constipation, and in most cases this is not due to
a disease. Even though constipation is not caused by a disease, it is important
that we follow the children and offer them treatment.
Incontinent children
- Incontinence may have physical or psychological causes. The department
examines the individual child and offers individual treatment.
Children with congenital abnormalities and children with diseases in the
intestinal tract
- Many of these children will get a temporary ostomy (the intestine is brought
through a hole in the stomach).
Children with congenital or acquired nerve damage and neurological
diseases
- Many children find it very uncomfortable to be examined in and around the
anus opening, so only the examinations of rectum that are necessary for the
treatment will be carried out. The department talks to the child and its parents
about diet, lifestyle and bowel movement patterns. These conversations form the
basis of individual treatment, which is adjusted and tailored continuously.
- Treatment of a child may include a change of diet, toilet training, perhaps
medical treatment, training of various forms of rinsing/purgation procedures
through the anus opening, guidance on possible aids, training of the
sphincter.Children who have had surgery in the anorectal region undergo
subsequent outpatient treatment which is to prevent narrowing of the surgical
wound.