• Clinical areas

PAEDIATRIC
SURGERY

I assess and treat the main paediatric surgical conditions, both elective and urgent, with specialist consultations and surgical care in Milan, Varese and the surrounding area.

My work includes specialist consultations, follow-up guidance, outpatient procedures and procedures performed in the operating room, always based on the child’s age, clinical picture and the real need for treatment.

  • Clinical areas

PAEDIATRIC SURGERY

I assess and treat the main paediatric surgical conditions, both elective and urgent.

My work includes specialist consultations, follow-up guidance, outpatient procedures and procedures performed in the operating room, always based on the child’s age, clinical picture and the real need for treatment.

  • What is paediatric surgery?

A specialty dedicated to children

A specialty dedicated to children

Paediatric surgery deals with the diagnosis and treatment of surgical conditions affecting newborns, children and adolescents.

It is not surgery “in miniature”: it requires an approach specifically designed for developmental age, because every assessment must take into account the child’s growth, development and individual characteristics.

The aim of the paediatric surgeon is not only to treat a condition, but to understand whether, when and how to intervene.

Whenever possible, the care pathway is designed to preserve structures and functions, avoiding unnecessary treatments.

  • Paediatric approach

Every assessment takes into account the age, development and characteristics of children and young people.

  • Proportionate pathway

The consultation helps understand whether to observe, plan follow-up checks or intervene.

  • Informed family

The pathway is explained clearly, helping parents understand the options available.

  • When to see a paediatric surgeon

When to monitor,

when to intervene

When to monitor, when to intervene

A paediatric surgery consultation may be useful when a new sign appears, a symptom persists or a condition is identified by the child’s paediatrician.

The specialist assessment helps understand the origin of the problem and distinguish situations that can be observed over time from those requiring follow-up checks, treatment or surgery. In some cases, however, it is important to act quickly and contact a doctor or go to the emergency department.

01

Checks during the first years

Some conditions may emerge during routine paediatric check-ups or on the advice of the child’s paediatrician: undescended testicle, hernias, hydrocele or concerns related to the foreskin may require a specialist assessment when indicated.

assessment

02

Signs that should be investigated

Inguinal or scrotal swellings, recurring abdominal pain, testicular pain, local infections or persistent difficulties may require a specialist assessment.

symptoms

03

Emergencies:
act immediately

Acute testicular pain, abdominal pain with worsening general condition, nausea, fever or severe malaise require prompt assessment.

emergency
  • CONDITIONS TREATED

The main conditions treated

The main conditions treated

Paediatric surgical conditions may present with very different signs: a swelling, persistent pain, a recurring disorder or a condition identified by the child’s paediatrician.
These pages help families understand symptoms, specialist assessment and possible care pathways, from diagnosis through to follow-up.

Groin and genital area

Inguinal hernia

A swelling that comes and goes? Even if it is not painful or seems to go back in on its own, it may still need a specialist paediatric surgery assessment.

Read more
Groin and genital area

Phimosis

The foreskin does not retract: is it always a problem? In young children, treatment is not always needed. Some signs, however, should be recognised and assessed.

Read more
Groin and genital area

Undescended testicle

Is one testicle not always in the scrotum? A consultation helps distinguish a condition that needs monitoring from one that should be treated within the appropriate timeframe.

Read more
Minor surgery

Ingrown toenail

Pain, swelling or discharge near the nail? Early assessment can help prevent the problem from becoming chronic or recurring.

Read more
Groin and genital area

Varicocele

Varicocele in boys: does it always require surgery? Not necessarily. The decision depends on symptoms, testicular growth and specialist assessment.

Read more
Abdomen and bowel Emergency

Acute appendicitis

Stomach ache: when should you not wait? Persistent pain, nausea, loss of appetite or a worsening general condition require timely medical assessment.

Read more
Groin and genital area Emergency

Testicular torsion

Sudden testicular pain? This is a symptom that should be assessed urgently, even when the pain seems to ease.

Read more
Abdomen and bowel

Constipation

Persistent constipation: when should it be investigated? If bowel movements are very infrequent, painful or often require enemas, an assessment may be needed.

Read more
Abdomen and bowel Emergency

Intestinal intussusception

Pain that comes and goes, paleness or vomiting? Some intestinal signs require prompt attention, especially when episodes of pain alternate with periods in which the child appears well.

Read more
  • Paediatric surgical procedures

Available procedures

Available procedures

Each procedure is assessed based on the condition, the child’s age and the clinical picture. When treatment is indicated, the pathway is explained clearly to the family: possible technique, type of admission, recovery time and follow-up checks.

  • Inguinal hernia repair / hydrocele

Closure of the canal responsible for the inguinal hernia or hydrocele, using an open or laparoscopic technique. In older boys, the use of a mesh may be considered in selected cases.

  • Circumcision / preputial frenulotomy

Procedures indicated in selected cases of phimosis, recurring infections, short preputial frenulum or, at the family’s request, for ritual or cultural reasons. The choice depends on the child’s age, symptoms and specialist assessment.

  • Orchidopexy

Surgery indicated in case of undescended testicle. It consists of bringing the testicle into the scrotum and fixing it in the correct position.

  • Onychectomy / matricectomy

A procedure for chronic or recurring ingrown toenail. It involves removing the affected part of the nail and, when indicated, treating the nail matrix.

  • Varicocele correction

Treatment indicated in symptomatic cases or when there is testicular asymmetry. It may be performed using a surgical or radiological technique, according to specialist assessment.

  • Appendicectomy

Surgery indicated in case of confirmed acute appendicitis. It consists of removing the appendix, using an open or laparoscopic technique.

  • CONSULTATION SERVICES

How I can help

HOW I CAN HELP

The pathway may begin with an outpatient consultation or, when appropriate, with an online consultation. After the assessment, any follow-up checks, dressings, follow-up care or treatments are defined, up to planning surgery when indicated.

01

Outpatient consultation

First consultation, specialist check-ups and paediatric surgery assessments for newborns, children and adolescents.

02

Video consultation

Online consultation when appropriate, useful for an initial orientation, clarification or selected follow-up.

03

Surgical procedures

Outpatient procedures or procedures in the operating room, planned according to the condition, the child’s age and specialist assessment.

  • WHERE I PRACTISE

Columbus Clinic Center

Via Buonarroti, 48 – Milano

Centro Polispecialistico Beccaria

Via Calogero Marrone, 2 – Varese

Clinica Isber

Via Carlo Sonzini, 8 – Varese

Clinica La Quiete

Via Dante Alighieri, 20 – Varese

Centro Medico Baroncini

Via Carlo Cattaneo, 3 – Sesto Calende

Centro Medico Le Torri

Via Marsala, 36 B – Gallarate

  • INSURANCE AGREEMENTS AND HEALTH FUNDS

For information about insurance agreements, health funds and access to services, please contact the relevant medical centre directly.

  • BEGIN THE PATHWAY

Book an appointment

A consultation can help clarify doubts, assess the situation and understand which pathway is most appropriate for the child.