The concept upon which this book is based exemplifies the maturation of the specialty of pediatric surgery and the pediatric surgeon. Today, the surgeon participating in the care of an infant or child with a surgical illness must be able to supply complete care and have full knowledge of all the ramifications of the illness. He no longer can qualify as a supertechnician able to operate on neonates. This book recognizes that the metabolic response to surgery and surgical illness in infants requires specialized expertise that is not necessarily the ken of the pediatrician or general surgeon.
Until quite recently, the surgeon who operated upon a child did just that—operated. He was not involved in the preoperative or postoperative management. His primary concern was the technical aspects of the operation, while the pediatric staff carried out the preoperative and postoperative care and frequently even made the preoperative diagnosis. In fact,