Chung Shan Medical College hospital was officially opened in 1966. Because of the lack of pediatric surgery professionals in the country, after completing the surgical residency training, Dr. Wu went to Jutendo hospital, which is the top pediatric surgery hospital in Japan, to receive training for pediatric surgeons. After the training, he returned to Taiwan to start a pediatric surgical treatment business in Chung Shan Hospital in 1976. In the same year, he encountered the famous delicate conjoined baby of Zhongren and Zhongyi. Under the careful care of Dr. Wu, the situation of the two children stabilized, and then they were transferred to the National Taiwan University for successful separation. After that, two more conjoined babies were also treated successfully.
In 1984, Chung Shan Hospital officially established the Pediatric Surgery department, and Dr. Wu served as the first director. In 1991, the Taichung City Health Bureau was entrusted to handle the health checkups of the kindergartens in the whole city of Taichung. Dr. Wu checked up the children in the average number of inspections per year was over 20,000. Screening for pre-school children with underlying diseases, fruitful results, and published research results at the International Medical Association, and provides a reference for health units.
In addition to everyday operations such as hernia, foreskin, and undescended testes, Dr. Wu treated congenital malformations such as esophageal atresia, small intestine atresia, megacolon, imperforate anus, vesicoureteral reflux, inherent hydronephrosis in children, and ect., almost from the digestive system, respiratory system, urinary system, and even congenital tumors have a wealth of surgical experience.
Because many children with abnormal bowel cannot get enough nutrition in time after surgery in that era, Dr. Wu set up complete paroenteral nutrition(TPN) team in 1976. This team responded for TPN business so that whether adults or children can receive enough nutrition support for postoperative recovery and avoid malnutrition by short-term bowel surgery, which was a pioneer at the time.
In addition to publishing papers in Taiwan and abroad every year, Dr. Wu also served as the president of the Taiwan associations of Pediatric Surgeons in 1999 and actively participated in the Pacific Association of Pediatric Surgeons. He also assisted in the PAPS meeting in Taiwan in 1988 and 2006, which can see his enthusiasm for pediatric surgery.
In addition to dedicated to the treatment and academic publication of patients, Dr. Wu also paid attention to train the younger generation in both therapeutic technique and educational aspect. Most of the surgical residents have cooperated with Dr. Wu to publish papers in Taiwan and abroad.
In 2009, Dr. Yuya Liao, the second attending pediatric surgeon of Chung Shan Pediatric Surgery, came to this family. After completing the resident training at Taichung Veterans General Hospital, she came here to be the attending pediatric surgeon. Dr. Liao inherits the enthusiasm of Dr. Wu for pediatric surgery, and technique for pediatric surgical index surgery, such as esophageal atresia, small intestine atresia, megacolon, imperforate anus, vesicoureteral reflux, and children congenital hydronephrosis. She has obtained proper doctoral qualifications at Chung Shan Medical University and received the diploma of full-time assistant professor.
In 2013, Dr. Ming-Yu Hsieh, the third attending pediatric surgeon of Chung Shan Pediatric Surgery, also came to this family. Dr. Hsieh graduated from Chung Shan Medical University and then started his resident training at Taipei Veterans General Hospital. After completing the practice of pediatric surgeons, he went to Puli Christian Hospital and then went to Changhua Christian Hospital as the attending physician of Pediatric Surgery. It was not until 2013 that he returned to his service in Chung Shan Medical University Hospital, and in July of the same year he began to serve as director of pediatric surgery.
◎ Specialized Medical Service
The department has a specialist ward (5 beds), an exclusive clinic, and an exclusive operative room. The operative room is complete, with minimally invasive laparoscopic equipment, 3D endoscope, child cystoscope, child bronchoscope, rigid bronchoscope, anoscope, rectum, vacuum suction anal biopsy equipment, electrical stimulator, etc. We can perform routine pediatric surgery, such as esophageal atresia correction; small intestine atresia surgery; megacolon correction surgery; anorectal correction surgery; vesicoureteral reflux, and anti-reflux injection, and traditional surgery; correction of ureteral obstruction lead to congenital hydronephrosis; inguinal hernia surgery; laparoscopic appendectomy; and minimally invasive surgery for the abdominal, thoracic, and urinary systems.
Compared with other departments, the situation of our department is similar to the concept of “fire brigade.” The patients are not so many, but they are all quite tricky and complicated. Because the patients are not as many as other departments, we have more time to discuss and explain to patient and parents, and have more interaction with the family to establish a good relationship.
Most of our patients are referrals. Sources include primary health care institutions, regional or local hospitals, obstetrics and gynecology, pediatrics, etc. In addition to regular science conferences and journal seminars, cross-teams meetings are held monthly with pediatrics to discuss the diagnosis tricks of rare surgical disease, the principle of preliminary treatment, and follow-up care guidelines.
Anal Incontinence and Chronic Constipation Treatment Center:
Sometimes children with anal disorders such as imperforate anus may also have congenital anal muscle insufficiency and cause incontinence. Colon disease such as Hirschsprung’s disease, a small number of patients will suffer from chronic constipation after surgery. These two conditions will not be fatal, but they will cause great trouble to the quality of life of patients. We performed Malone surgery (antegrade continence enema operation), make a small opening in the navel of the appendix, using a temporary enema tube to make antegrade enema, can make these patients return to almost regular life.
In recent years, this surgery has extended to adults with anal incontinence and chronic refractory constipation due to spinal injury. The results are outstanding, and this is another focus of our department.
◎ Medical Services
Head and neck surgery:
Thyroglossal duct cyst surgery, piriform sinus cyst surgery, cervical lymphangioma(or cystic hygroma) resection, head and neck hemangioma resection, cervical vascular malformation resection
Pediatric Urology:
Neonatal hernia surgery, pediatric hernia surgery, correction of undescended testes, intra-abdominal undescended testes surgery, circumcision, hypospadias surgery, vesicoureteral reflux surgery (anti-reverse injection or traditional surgery), congenital ureteral stricture correction surgery, congenital ureterocele correction, urachal resection, bladder enlargement
Pediatric chest:
Funnel chest surgery (traditional or endoscopic Nuss surgery), lung mass surgery, diaphragmatic hernia surgery, esophageal atresia, esophageal stricture surgery, esophageal foreign body removal surgery, tracheal stenosis surgery, tracheal foreign body removal surgery, tracheal stent removal surgery
Pediatric digestion:
Laparoscopic appendectomy, traditional appendectomy, gastroesophageal reflux surgery (Fundoplication), pyloric stenosis surgery, duodenal atresia, small intestine atresia, intestinal rupture surgery, large intestine atresia, megacolon correction surgery, imperforate anus correction surgery, midgut malrotation surgery, gastroschisis correction surgery, omphalocele correction surgery, peritoneal dialysis tube implantation, annular pancreatic correction surgery, cholecystectomy, choledochal cyst excision, biliary atresia correction Surgery, pancreatic tumor surgery, Malone procedure (MACE, Malone antegrade continence enema), intestinal fistula resection, Meckel’s diverticulectomy, intussusception surgery
Vascular and lymphatic surgery:
Cervical lymphoma surgery, pediatric port-A implantation, arteriovenous fistula (hemodialysis), hemangiomas resection, hemangioma injection, vascular malformation and reconstruction, spleen resection, spleen torsion correction Surgery or resection
Tumor surgery:
Teratoma resection, gonad tumor resection, renal tumor resection, adrenal tumor (pheochromocytoma, paraneoplastic) resection, neuroblastoma resection, hepatoblastoma resection, artificial vascular implantation
Other malformations:
Polydactyly, syndactyly, umbilical hernia, umbilical granuloma excision, urachus excision, intestinal fistula resection
◎ Future Prospects
I. Established a child urinary system treatment center: Under the development of the birth control technology, many congenital diseases reduce gradually, but the children’s urinary system diseases that are difficult to detect in the birth check increases relatively. In the future, a child urinary system treatment center will be established to target ordinary children’s urinary tract. Systemic disease, referrals, and team care for patients with pediatrics, primary care, regional and regional hospitals.
II. Anal Incontinence and Chronic Constipation Treatment Center: For anal incontinence and intractable constipation that cannot be controlled by drugs or other means, our department will promote the operation and use the appendix to perform MACE to improve the patient’s quality of life.