A cut-throat business: Head & Neck Surgery in children

In this age of subspecialisation, effective communication and collaboration is key. How do we improve the care of children with head and neck conditions? Head & Neck Surgery is an established subspecialty within Otorhinolaryngology globally. Here at RCH, The University of Melbourne & MCRI, we are navigating the ever-changing complexity and diversity of congenital, acquired and neoplastic head and neck conditions.

Early Births in Australia: Potential Implications for Child Health

The gestational age at birth in Australia has slowly but steadily declined over the past 30 years, mainly due to increase in planned births (caesarian sections, inductions of labor). The effects of this decline in gestational age to child health are evident at many levels – intensive care, paediatric care, community, and school.

The Cleft Palate Initiative

Synopsis  Infants undergoing cleft palate surgery at the Royal Children’s Hospital are a unique subgroup. In 2015 Dr Bal Kaur conducted a retrospective audit of pain management of these infants and found substantially high pain and distress reported post operatively. Through a collaborative effort with Dr Geoff Frawley and other stakeholders, a formal quality improvement … Continued

VicHip: What makes this clinical registry so powerful?

The Victorian hip dysplasia registry (VicHip) is part of a transformative effort in Victoria to improve the diagnosis and treatment of hip dysplasia. In this Grand Round, four VicHip team members will speak about their approach, which includes a streamlined process for clinicians, integrated data systems, and stakeholder engagement and research. If you’re a health professional, researcher or parent looking for more information, tools and publications about hip dysplasia, this session will be a valuable resource.

The Colorectal and Pelvic Reconstruction Service: Leadership and innovation for children with complex colorectal conditions

The Colorectal and Pelvic Reconstruction Service was created in 2019 to provide world-class care for children and families affected by complex colorectal conditions. Through the combined support of the RCH Foundation, the Victorian Government and the Federal Government, the service acts as a national leader for children born with anorectal malformations or Hirschsprung disease, and children affected by chronic constipation. 

The RCH Advanced Heart Failure Programme: Heart transplantation and ventricular assist devices

Over recent years the number of children with advanced heart failure from cardiomyopathy and congenital heart disease receiving treatment has increased considerably. The Royal Children’s Hospital has been the nationally funded centre for heart transplantation in children for 30 years. The RCH heart failure program involves medical, surgical, nursing, allied health and biomedical technology. Successful management of severe heart disease in children requires a detailed understanding of the aetiology, likely disease trajectory and balancing an increasing number of treatment options.

Paediatric upper limb transplantation: A new frontier of surgery, immunology, and ethics

Hand transplantation is a technique to reconstruct absent and functionless upper limbs using cadaveric donor limbs.

In the 20 years since the world’s first hand transplant, the technique has developed into a reliable and valuable option for carefully selected adult amputees. The downside is the need for immunosuppression with its inherent risks (metabolic, infective, neoplastic, and renal impairment) for the duration of the transplant.