[Surgery in childhood at the hospital for basic and routine general management].

Pediatric surgery in general surgical hospitals involves treatment of blunt thoracic trauma, blunt abdominal trauma and acute abdominal and inguinal surgery. Special surgical techniques are: opening of the bursa omentalis to detect pancreas ruptures; partial liver resections in deep organ ruptures instead of wound readaptation due to postoperative bleeding, gall bladder fistulae and rising infections; organ-protecting spleen resections. Appendectomy is indicated in children in cases of non-inflammatory, congenital chronic abdominal pain (dissociated visceral growth); side-to-side anastomosis is contraindicated because of the "blind-loop syndrome". The megacolon detected intraoperatively has seven different causes necessitating a colostomy and further diagnostic procedures in special hospitals. Incarcerated hernias in newborns have a 6-times higher recurrence rate, Bassini operations are contraindicated.