Surgery Annual Report 2019 Table of Contents Welcome to Surgery at Riley Children’S Health Welcome to Surgery at Riley Children’S Health
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Nationally Ranked in out 10 of 10 Pediatric Specialties Surgery Annual Report 2019 Table of contents Welcome to Surgery at Riley Children’s Health Welcome to Surgery at Riley Children’s Health ......................... 1 As pediatric surgeons and dedicated perioperative surgical teams, one of our most important jobs is to offer hope to children About Riley Children’s Health ....................................................... 2 and families—to restore health, normalcy and the promise of a bright future. Our latest Riley Children’s Health Surgery Annual Report provides an overview of our surgical specialties*, highlighting the expertise, innovation and commitment that Riley Surgery at a glance .............................................................. 5 enable us to reach these goals. Riley Surgical Research Day ......................................................... 5 Working in collaboration with nurses, anesthesiologists, child life specialists and other multidisciplinary team members, Maternity Tower at Riley Hospital for Children at IU Health ........ 6 surgeons at Riley performed more than 19,000 operating room Surgical specialties procedures in 2019. Everyone involved with Riley Surgery—from Cardiothoracic Surgery .................................................. 8 team members in environmental services and sterile processing Riley Surgery expands virtual care Dentistry .................................................................... 10 to our colleagues in the operating room—contributes to providing children and families with exceptional patient experiences and the Many of our surgical specialties are using Interventional Cardiology and Electrophysiology ............. 12 Nationally out Pediatric best possible outcomes. virtual visits to increase statewide access Interventional Radiology .............................................. 14 Ranked in 10 of 10 Specialties to Riley’s skilled surgical teams. During the Maternal Fetal Medicine .............................................. 16 Our partnership with Indiana University School of Medicine and COVID-19 pandemic, virtual care outreach Neurosurgery .............................................................. 18 Cancer our long-standing commitment to research and scholarly activity —via a secure, user-friendly app—has Ophthalmology ........................................................... 20 continue to set Riley at IU Health apart from others locally, expanded to include not only critical follow- Orthopedic Surgery ..................................................... 22 Cardiology & 5th regionally and nationally. As our surgical program and capabilities IN THE up visits, but also initial assessments. Heart Surgery NATION continue to grow, we’re excited about the future of Riley Surgery, Otolaryngology – Head & Neck Surgery ......................... 24 Using close observation and patient family marked by progress in the areas of fetal intervention, precision Pediatric Surgery ........................................................ 26 Diabetes & consultation, Riley neurosurgeons are now surgery, artificial intelligence and machine learning, and further Plastic Surgery ........................................................... 28 Endocrinology performing thorough pediatric neurological refinement and use of minimally invasive surgical techniques. Transplant Surgery ...................................................... 30 exams virtually. Riley Pediatric Surgery can Gastroenterology Urology ...................................................................... 32 & GI Surgery On behalf of our entire surgical team, I hope you enjoy learning facilitate nearly any type of preoperative or more about our dedicated team members and the 13 specialties postoperative appointment with a virtual visit. Anesthesia .................................................................................... 34 TOP Neonatology 15 that comprise Riley Surgery. With a commitment and passion for Trauma Services .......................................................................... 36 children’s health that’s unmatched, our team strives every day to Nephrology & Kidney Diseases TOP Riley Surgery Team Member Directory ..................................... 38 15 make a difference in the lives of children and families by restoring Neurology & Neurosurgery TOP health and working to ensure improved quality of life. Refer a patient ............................................................................. 41 25 Orthopedics Pulmonology & Lung Surgery Frederick J. Rescorla, MD 2nd Urology IN THE Surgeon-in-Chief NATION On the cover Inspiring patients, Adriana Carrera, age 5, flashes a smile while coloring in one of world-class care: the play rooms at Riley. A sudden onset of pain led to her visit. The pain began during the day stories of Riley kids and continued into the night so Surgeons and surgical teams her parents took her to the Riley at Riley Children’s Health treat Emergency department. Riley thousands of children each year. physicians discovered an issue with Adriana’s appendix, and Read some of their stories on within a few hours, she was in pages 3, 4 and 40. * The medical specialties of Riley Children’s Health are highlighted in a separate the operating room. After four annual report. To view this report, visit days recovering from surgery, rileychildrens.org/medicalannualreport; Adriana returned home. print copies may also be requested from [email protected]. Riley Children’s Health Surgery Annual Report 2019 | 1 About Riley Children’s Health Riley Children’s Health, Indiana’s largest and most Riley Children’s Health Statewide Reach skilled pediatric system, provides care in more Story of a Riley kid: South Bend than 50 locations in communities across Indiana. Crown Point Connor Guthrie, age 12 Fort Wayne Surgeons team up to save More than 300,000 boy with rare traumatic injury. West Lafayette PATIENTS TREATED ANNUALLY Lafayette Muncie Fishers Carmel PRIMARY SPECIALTY Richmond Connor Guthrie doesn’t remember much about the performed by Dr. Landman and IU Health University Hospital Indianapolis CARE CARE accident. What he does remember is the excruciating pain. thoracic surgeon Kenneth A. Kesler, MD. The complex 200 + 400 Avon The injuries to Connor’s abdomen, stomach and esophagus reconstruction rarely used on a child involved turning the Greensburg from a car crash in Bloomington were so severe they stomach into a tube and bringing it up to connect to the physicians across 40 specialties Terre Haute Columbus required the combined skills of surgeons at Riley Hospital repaired esophagus. Bloomington for Children and IU Health University Hospital to repair. Though the tube The boy’s esophagus had ruptured where it connects to will grow with the stomach, tearing a hole and spilling the contents of “ It was one of the more Two pediatric hospital Connor, he will the stomach into his abdomen. complex injuries I’ve ever locations in central Indiana: always have to be seen. Complex in how it first “I admit when the Bloomington trauma team told me careful how much Evansville/Newburgh the injury they thought Connor had, I didn’t believe it he eats at one presented, how we had to ■ Riley Hospital for Children at IU Health – think about it immediately Indianapolis because it’s something you never hear about,” said time. Matthew P. Landman, MD, director, Riley Trauma after the injury; and then At 5 feet, 6 inches ■ Riley Hospital for Children at IU Health Services. how we had to proceed with North Hospital – Carmel and barely 90 Riley Hospital for Children “When Connor got to Riley, he was awake but was in a lot pounds, Connor is reconstruction.” at IU Health is a Magnet® of pain, and it was very clear immediately that he would thin but healthy. Matthew P. Landman, MD Director, Trauma Services hospital, recognized for need an operation,” Dr. Landman said. “We took him to the He tried out for AFFILIATED WITH nursing excellence and high- OR urgently and found a very unusual perforation of his the basketball quality clinical outcomes stomach as the esophagus comes from the chest into the team at school abdomen. It’s exceedingly rare.” but was cut after the second So rare, in fact, that Dr. Landman had never seen it in round, mostly, he an actual patient. ■ One of the largest medical schools in the U.S. believes, because Leader in research “It’s one of those things you read about, you learn how his stamina is ■ One of the busiest locations for pediatric not yet what it research funded by the National Institutes of and innovation to take care of it, then you never see it. And here it was on our doorstep.” needs to be. His Health and other sponsors ■ Indiana’s only pediatric mom, Amber Riley Children’s Health and IU School of Medicine research hospital Initially, Dr. Landman Hattabaugh, is are committed to providing excellent healthcare chose to correct the proud nonetheless. ■ Sixth-ranked children’s hospital for children through prominence in education, problem by stapling in U.S. for research funding off the esophagus “For him to even be able to try out was a big deal,” she said. training and research. to prevent more Today, Dr. Landman said seeing Connor offers no hint of ■ Home to the Herman B Wells Center contamination what he’s been through. COMPREHENSIVE CHILDREN’S HOSPITAL AND HEALTH SYSTEM OF for Pediatric Research, in the abdomen. the Children’s Clinical Connor underwent “I got to see him go from being super sick, banged up and Research Center and subsequent