Skilled surgeons at Riley Children’s Health perform the full array of pediatric surgeries and also lead the hospital’s Level I Pediatric Trauma Center. Our surgical team continues to increase the use of minimally invasive surgical techniques, including thoracoscopy, laparoscopy and robotic surgery, as well as therapeutic interventions, such as extracorporeal membrane oxygenation (ECMO). PEDIATRIC SURGERY
RESEARCH HIGHLIGHTS
■ The Riley Children’s Health Pediatric Surgery Basic Science Research Laboratory , directed by Troy A. Markel, MD — With continuous funding from the National Institutes of Health (NIH) and other major funders, the lab studies necrotizing enterocolitis and its impact on premature infants. Final preclinical testing is underway to launch a clinical trial of stem cells as a therapeutic option for infants with the disease. ■ Member of the Midwest Pediatric Surgery Consortium, an 11-hospital collaborative established to pool data on rare surgical conditions such as tracheo-esophageal fistula, ovarian cysts, malrotation and pediatric trauma. ■ Participant in NIH-funded ENRICH-US —the largest study ever for the implementation of ERAS protocols for intestinal surgery in children.
Program distinctions
Riley Hospital for Children is
DIVISION CHIEF Alan P. Ladd, MD, MBA Anna Olivia Healey Professor of Pediatric Surgery, IU School of Medicine > Connect with Dr. Ladd on Doximity. >
verified as a Level I Children’s Surgery Center by the American College of Surgeons (ACS).
■ First in Indiana to provide cryoablation analgesia for pain control in chest wall and lung surgery
■ Leader in developing protocols and conducting research to achieve early return of gastrointestinal function after surgery (ERAS) ■ Member of the Midwest Pediatric Surgery Consortium ; established to improve standard of surgical care through study of clinical outcomes ■ Member of the Pediatric Surgical Oncology Research Collaborative ; engaged in study of surgery-focused guidelines for childhood tumors
10 board certified surgeons
See full team member list >
Pediatric General Surgery Volume: 2021 – 2022
Specialized programs Parenteral Support and Intestinal Rehabilitation (PAIR) Program
3,87
Operating room cases
2,215 2,516
■ Multidisciplinary team optimizes intestinal adaptation and improves outcomes for children with intestinal failure and short bowel syndrome. Chest Wall Program ■ Specialists focus on diagnosis and treatment of congenital and acquired chest wall conditions. Center for Colorectal and Urogenital Health ■ Children with complex colorectal and urogenital anomalies benefit from comprehensive care from Riley surgeons and medical specialists. Biliary Atresia Program ■ Partnership with gastroenterologists enhances treatment and outcomes. 2,215 2,516
2021
2022
2021
NOTABLE PUBLICATIONS
Outpatient visits
4,341
3,875
JAMA Network Open: May 2022 Demographic and Clinical Characteristics Associated With the Failure of Nonoperative Management of Uncomplicated Appendicitis in Children: Secondary Analysis of a Nonrandomized Clinical Trial Journal of Pediatric Surgery: September 2022 Open Abdomen During Extracorporeal Membrane Oxygenation Is a Safe and Effective Treatment for
European Journal of Cancer: July 2022 Addressing the Diagnostic and Therapeutic Dilemmas of Ovarian Immature Teratoma: Report from a Clinicopathologic Consensus Conference Seminars in Perinatology: March 2022 Stem Cell Derived Therapies to Preserve and Repair the Developing Intestine
724 outpatient visits conducted at Riley Children’s outreach centers across Indiana
2021
2022
2021
2022
Leading-edge procedures ■ Nerve cryoablation for pain control in pectus
Quality and safety initiatives ■ Implemented an initiative to reduce narcotic use in perioperative pain management. ■ Converted simple appendicitis cases to strictly outpatient procedures to reduce length of stay.
reconstruction or thoracic surgery – Procedure provides analgesia of the intercostal nerves, allowing for early discharge within 48 hours of surgery compared to traditional four-day length of stay. ■ Malone Antegrade Continence Enema (MACE) tube placements treat fecal incontinence.
Abdominal Compartment Syndrome Gynecologic Oncology: June 2022
32 research publications in 2022
Utility of Frozen Section in Pediatric and Adolescent Malignant Ovarian Nonseminomatous Germ Cell Tumors: A Report from the Children’s Oncology Group
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Annual Report 2022 – 2023
317.944.4681
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