Bella Italia: Specialized Pediatric Surgical Care in Italy

Abstract

Italian pediatric surgery has a long history, rich in events, places, and personalities that make it unique. Our first pediatric surgical unit dates back to the first half of the 19th century and its number has grown exponentially during the following decades, with a maximum flowering in the years after the second world war.

The rich history of pediatric surgery has not prevented it from facing important problems, such as the demographic crisis, underemployment of surgeons, and care of pediatric patients by adult specialists.

The attempt to find solutions to these problems has led to a great deal of efforts not only by pediatric surgeons, but also by the Italian government and institutions, with the implementation of ministerial plans that favor the specificity and growth of our discipline through thematic and territorial networks, through more effective training and specialization plans, the cooperation between the Directors of Pediatric Surgical Units for a better coordination of care, the participation in European networks, such as the recently created ERNs (European Reference Networks).

Many Italian pediatric surgeons are active in International Societies, as members or coordinators, in the design and management of multicenter studies and surveys and even in the creation of new international networks.

The Italian response to the demand for specialization and centralization involves knowledge sharing, large-scale cooperation, transversal between specialists and vertical with governmental authorities for a better and more effective care of pediatric patients.

Keywords

pediatric surgery - pediatric care - networks

• References

• 1 Bilancio demografico mensile. Available at: demo.istat.it . Accessed April 28, 2017
• 2 Index mundi. Population Density-World. Available at : http://www.indexmundi.com/map/?t=0&v=21000&r=xx&l=it
• 3 Italian Society of Pediatric Surgery. Available at: http://www.chped.it/?page_id=33
• 4 Italian Society of Pediatric Surgery. Available at: http://www.chped.it/?page_id=31
• 5 DELIBERAZIONE N. VI/38133 del 6 agosto 1998
• 6 Parigi GB. , La chirurgia pediatrica in Italia: un problema da risolvere. From the archives of the Società Italiana di Chirurgia Pediatrica, Courtesy of Prof. Gian Battista Parigi, MD, FEBPS, President of the Center for International Cooperation, University of Pavia, Italy
• 7 Italian Society of Pediatric Surgery. Available at: http://www.chped.it/
• 8 Remigio Dòmini. Introductive Speech during the 33th SICP Congress, Bologna, 26th September 1998
• 9 Italian Society of Pediatric Surgery. Available at: http://www.chped.it/?page_id=156
• 10 Zhang XH, Qiu LQ, Ye YH, Xu J. Chromosomal abnormalities: subgroup analysis by maternal age and perinatal features in zhejiang province of China, 2011-2015. Ital J Pediatr 2017; 43 (01) 47
• 11 Edoardo C, Nicola D, Laura L. , et al. Standard Clinico-Organizzativi SIAARTI-SARNePI per l'anestesia in età pediatrica. SIAARTI Rome, 31 January 2017
• 12 Ministero della Salute. Linee di indirizzo per la promozione e il miglioramento della qualità, della sicurezza e dell'appropriatezza degli interventi assistenziali in area pediatrico-adolescenziale”. Rome, October 31, 2016
• 13 Allegato 2 al Decreto MIUR 20.05.2016 n.313 come rettificato dal D.M. 23.05.2016 n.319
• 14 Official guidelines for the year 2017, Ministry of Health of the Italian Republic, signed on September 23, 2016
• 15 D.d.g. 18 marzo 2016 - n. 1988. Rete interaziendale Milano Materno-Infantile (R.I.M.M.I.). Bollettino Ufficiale Regione Lombardia, Serie Ordinaria n. 12-Venerdì 25 marzo 2016
• 16 EUR-Lex. Access to European Union Law. Available at: http://eur-lex.europa.eu/legal-content/IT/TXT/?uri=CELEX%3A32011L0024
• 17 WHO. Building European Reference Networks in Health Care-Exploring concepts and national practices in the European Union. Palm W, Glinos IA, Rechel B, Garel P, Busse R, Figueras J. , eds. European Observatory on Health Systems and Policies. Copenhagen, Denmark: World Health Organization; 2013
• 18 European Reference Networks. Working for patients with rare, low-prevalence and complex diseases. Share. Care. Cure. Available at: https://ec.europa.eu/health/sites/health/files/ern/docs/2017_brochure_en.pdf
• 19 Pio L, Avanzini S, Mattioli G. , et al. Perioperative management of hypertensive neuroblastoma: A study from the Italian Group of Pediatric Surgical Oncologists (GICOP). J Pediatr Surg 2017; DOI: 10.1016/j.jpedsurg.2017.06.027.
• 20 Avanzini S, Faticato MG, Crocoli A. , et al. Comparative retrospective study on the modalities of biopsying peripheral neuroblastic tumors: a report from the Italian Pediatric Surgical Oncology Group (GICOP). Pediatr Blood Cancer 2017;64(5) DOI: 10.1002/pbc.26284
• 21 ARM net. Available at: http://www.arm-net.eu/index.php/publications
• 22 Morini F, Zani A, Conforti A. , et al. Current Management of Congenital Pulmonary Airway Malformations: a “European Pediatric Surgeons' Association” Survey. Eur J Pediatr Surg 2017; DOI: 10.1055/s-0037-1604020.
• 23 Chiarenza SF, Bleve C, Caione P. , et al. Minimally invasive treatment of pediatric extrinsic ureteropelvic junction obstruction by crossing polar vessels: is vascular hitching a definitive solution? report of a multicenter survey. J Laparoendosc Adv Surg Tech A 2017
• 24 Fascetti-Leon F, Scotton G, Pio L. , et al. Minimally invasive resection of adrenal masses in infants and children: results of a European multi-center survey. Surg Endosc 2017; DOI: 10.1007/s00464-017-5506-0.
• 25 Esposito C, De Lagausie P, Escolino M. , et al. Laparoscopic resection of pancreatic tumors in children: results of a multicentric survey. J Laparoendosc Adv Surg Tech A 2017; 27 (05) 533-538
• 26 Esposito C, Escolino M, Varlet F. , et al. Technical standardization of laparoscopic repair of Morgagni diaphragmatic hernia in children: results of a multicentric survey on 43 patients. Surg Endosc 2017; 31 (08) 3320-3325
• 27 Castellani RL, Toppino M, Favretti F, Camoglio FS, Zampieri N. National survey for bariatric procedures in adolescent: Long time follow-up. J Pediatr Surg 2017; DOI: 10.1016/j.jpedsurg.2017.03.005.
• 28 Bertozzi M, Esposito C, Vella C. , et al. Pediatric ovarian torsion and its recurrence: A multicenter study. J Pediatr Adolesc Gynecol 2017; 30 (03) 413-417
• 29 Costanzo S, Spaccini L, Pio L. , et al. Currarino syndrome: does the presence of a genetic anomaly correlate with a more severe phenotype? A multicentre study. J Pediatr Surg 2017; DOI: 10.1016/j.jpedsurg.2017.06.012.
• 30 INPAT. International Network of Pediatric Airway Teams. Available at: http://www.inpat.cisef.org/inpat.php