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50th Anniversary of the French Society of Pediatric Surgery

Prof. Michel Robert

Consultant Pediatric Surgeon

Tours, France.





It is a great pleasure and an honour for me to present this special issue of Journal of Pediatric Surgical Specialties dedicated to the fiftieth anniversary of the French Society of Pediatric Surgery. I want to thank our Romanian friends, editors of this interesting journal of Pediatric Surgical Specialty that allow us to publish the abstracts from the congress. This is the witness of a Francophile and Francophone friendship of long standing. You should be aware that this friendship is shared and my wish is to see its further development by obtaining from our Ministry of Health more opportunities for exchanges and professional training between our two countries.

It is an achievement of our colleagues that I wish to remark, among the current economic difficulties, to have known and been able to create this European journal which covers all aspects of surgery of the child regardless of the specialty. Its scientific and technical quality is excellent. It is already much consulted in Europe, Asia, Middle East and of course in France. It should be soon referenced in Index Medicus.

The fiftieth Congress (“le Cinquantenaire”), chaired by Professor Lionel Coupris in Angers, was excellent in its organization and scientific content. Many foreign guests participated. Professor Denys Pellerin, Honorary President of Congress, in its conference, reported the history of our specialty in France and all current ethical issues raised (you can find it in full in this issue).

Surgery of the child has reached "maturity." It is well recognized by our adult surgery colleagues. The concept of comprehensive care of the child in a suitable specific structure, "children hospital”, has gradually imposed. The child, the growing person, is not a "small adult" but a "becoming adult". The considerable expansion of knowledge has gradually brought subspecialties. The pediatric surgeon is both a pediatrician and surgeon, more often pediatrician than surgeon.

The management of antenatal and neonatal diagnosed pathologies has an impact in the life of this child. Only a multidisciplinary collaboration and integrating parents (staffs of prenatal diagnosis with gynecologists, neonatologists, intensivists, pediatricians, ENT surgeons, psychologists, pediatric surgeons, adult surgeons, parents associations ...) will allow the baby, a human being with different malformations, to bloom fully.

The presented abstracts illustrate the plurality of our specialty and they reflect the current level of knowledge. The studies on the quality of life in adolescence and adulthood begin to be published. This evaluation is necessary: It is the reason of our commitment.

The symposium on Hirschsprung’s disease with the participation of Professor Arnold Coran has shown the progress and the uncertainties concerning the management of this pathology.

Surgery is an Art and it is learned by working in team with more experienced surgeons. A new technique read in an article, even very attractive, should not be used without prior training. The results of the operative techniques must always be treated with caution. “They often have in common only the author’s name”, as show the variable early results from the neonatal endo-anal colonic pull-through.

The robotic help in surgery, the images transmitted in distance, virtual simulation and telesurgery will be the new forms of learning in the future. It is a significant progress which should rapidly find an application in the developing countries. But the new technologies should not determine us to forget the laboratory of experimental surgery, the human contact and the dialogue, being the only possibility to transmit the secrets of this art and to progress.

The meeting was combined, as every year, with the congress of pediatric surgery nurses, working at the operating theaters and in the departments. It is always the opportunity of a successful meeting among all of us for the benefit of children’s health.

We must never forget that medicine should be practiced especially for the patients and not for the doctors!