Our multidisciplinary team includes pediatric-trained surgeons and neonatologists who collaborate at a level not seen at most hospitals.
Together, they have set new standards of care for neonatal surgery. This unique effort has led to improved patient outcomes for many babies who otherwise may not have access to the specialized care they need. In addition to neonatologists and pediatric surgeons, the team includes a dedicated neonatal nurse practitioner, anesthesiologists, specialized nurses, respiratory therapists, dietitians, pharmacists, speech therapists, occupational and physical therapists, social workers and case managers. The interdisciplinary team rounds jointly and discusses every baby’s care as a group, forming a treatment plan that may also call on the expertise of other specialty areas of the hospital, such as gastroenterology, infectious disease, genetics, pulmonology, neurology or radiology. Parents and families are also vital members of the team and are partners in every stage of their baby’s care.
Special Procedures for Babies
CHOC Children’s surgeons are trained and experienced in cardiothoracic surgery, gastrointestinal (GI) surgery, general surgery, neurosurgery, urological surgery, otolaryngological (ENT) surgery, plastic surgery, ophthalmologic surgery and orthopaedic surgery. We perform some of the most complex surgeries available, including mandibular distraction and ex utero intra-partum (EXIT) procedures. We treat most neonatal conditions including:
- Bladder exstrophy
- Chiari malformation
- Congenital cystic adenomatoid malformation (CCAM)
- Diaphragmatic hernia
- Esophageal atresia
- Gastroesophageal reflux
- Hirschsprung’s disease
- Imperforate anus
- Intestinal atresia
- Micrognathia (Pierre Robin sequence, Treacher Collins syndrome)
- Myelomeningocoele (spina bifida)
- Necrotizing enterocolitis (NEC)
- Posterior urethral valve obstruction
- Sacrococcygeal teratoma
- Tracheoesophageal fistula
- Ureteropelvic junction obstruction.
New Standards of Care
We have developed new standards of care that anticipate the unique challenges that babies may face before, during and after surgery, including pain management, reactions to anesthesia, medication dosing, hypothermia prevention, wound care and healing, special feeding requirements and growth and development needs.
After surgery, babies recover in the Surgical NICU for as long as necessary in a comfortable space that promotes healing and low stress. As a baby heals and becomes stabilized, we encourage parents and families to hold, feed and care for them just as they would at home. Learn more about parenting in the NICU.