The mission of the Department of Pediatric Surgery at Nationwide Children’s Hospital is to provide collaborative, comprehensive and multidisciplinary care for infants, children and adolescents with surgical disorders. The members of the department are all full-time faculty of the Department of Surgery at The Ohio State University College of Medicine and are committed to excellence in clinical care, surgical education and research.
The Department of Pediatric Surgery is one of the largest and most diverse departments of its kind in the United States. Included in the department are 15 board-certified pediatric surgeons, six of whom are also certified in surgical critical care; one hospitalist, who is board-certified in general surgery and specializes in burn and trauma care; and a full-time PhD scientist. Each faculty member brings special strengths and talents to the department and is recognized for individual expertise in clinical care, research and education.
Highlights in Pediatric Surgery over the past year include:
Center for Colorectal and Pelvic Reconstruction – The Center for Colorectal and Pelvic Reconstruction at Nationwide Children’s is the first in the world to fully integrate pediatric surgery, urology, gynecology and GI/motility into a comprehensive treatment program assisting children with these complex disorders. In its first year, the center treated 487 patients and performed 841 procedures, receiving inquiries from patients from 32 countries and 48 states. The team has traveled to Costa Rica, France, Germany, Israel, South Africa and Thailand to teach courses and perform surgery, training local surgeons and nurses in complex colorectal techniques. The center hosted a colorectal and pelvic reconstruction symposium at Nationwide Children’s, attended by 270 doctors and nurses from 23 countries and 27 states.
Minimally Invasive Surgery (MIS) and Robotic Surgery programs – The Pediatric Minimally Invasive Surgery Program at Nationwide Children’s is meeting its goal of increasing the numbers of MIS procedures being performed annually and utilizing MIS approaches in the repair of multiple congenital anomalies, including congenital diaphragmatic hernia, congenital lung lesions, duodenal atresia, malrotation, and tracheoesophageal fistula. In addition, our number of robotic surgical procedures is increasing annually. The MIS program offers a comprehensive fellowship training program that just graduated its second fellow. Uniquely, two of our recent graduating fellows have finished the program as fully trained and certified robotic surgeons.
Adolescent Bariatric Surgery Program – The Adolescent Bariatric Surgery Program, in collaboration with the Center for Healthy Weight and Nutrition at Nationwide Children’s, continues at a busy pace. The multidisciplinary team continues to assess and treat severely obese adolescents as they prepare to undergo weight-loss procedures. The director of the program has collaborated with leaders at the American Society of Metabolic and Bariatric Surgery and the American College of Surgeons to develop national accreditation standards, which were formally introduced in 2014, for the newly developed MBSAQIP (Metabolic Bariatric Surgery and Quality Improvement Program). MBSAQIP is an extremely important initiative that will result in accreditation of adolescent bariatric surgery programs in the U.S. in a similar fashion to adult bariatric programs.
Pediatric Burn and Trauma Center – The American Burn Association-verified Burn Program at Nationwide Children’s cares for over 160 thermally injured children every year. In April 2015, the program underwent its fifth successful verification visit from the American Burn Association. According to the reviewers, “there is continuity of care for the children that goes well above and beyond the usual standard delivered in the U.S.” The program has introduced new protocols for fluid resuscitation for severely burned patients, nutritional guidelines, and sedation for burn-dressing procedures. The Nationwide Children’s Level 1 Pediatric Trauma program continues as one of the busiest in the U.S. and cares for over 1,200 traumatically injured children every year. It is one of the first trauma centers in the U.S. to use the electronic medical record to document trauma resuscitations. The program is working closely with the newly created Center for Pediatric Trauma Research at Nationwide Children’s to further pediatric trauma research.
Pediatric Surgery Faculty
Gail E. Besner, MD
Pediatric Surgery Selected Publications
Kelleher KJ, Cooper J, Deans K, Carr P, Brilli RJ, Allen S, Gardner W. Cost saving and quality of care in a pediatric accountable care organization. Pediatrics. 2015 Mar;135(3):e582-9.
Michalsky MP, Inge TH, Simmons M, Jenkins TM, Buncher R, Helmrath M, Brandt ML, Harmon CM, Courcoulas A, Chen M, Horlick M, Daniels SR, Urbina EM; Teen- LABS Consortium. Cardiovascular risk factors in severely obese adolescents: the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study. JAMA Pediatrics. 2015 May;169(5):438-44.
Minneci PC, Sulkowski JP, Nacion KM, Mahida JB, Cooper JN, Moss RL, Deans KJ. Feasibility of a nonoperative management strategy for uncomplicated acute appendicitis in children. Journal of the American College of Surgeons. 2014 Aug;219(2):272-9.
Nielsen JW, Boomer L, Kurtovic K, Lee E, Kupzyk K, Mallory R, Adler B, Bates DG, Kenney B. Reducing computed tomography scans for appendicitis by introduction of a standardized and validated ultrasonography report template. Journal of Pediatric Surgery. 2015 Jan;50(1):144-8.
Raval MV, Rust L, Thakkar RK, Kurtovic KJ, Nwomeh BC, Besner GE, Kenney BD. Development and implementation of an electronic health record generated surgical handoff and rounding tool. Journal of Medical Systems. 2015 Feb;39(2):8.