Pediatric General and Thoracic Surgery


Serving children whose development ranges from newborn through the teenage years, the program is primarily concerned with the diagnosis, preoperative, operative, and postoperative management of surgical problems in children under the clinical leadership of Tamir Keshen, MD.


At Cottage, your child will be cared for by a specially-trained, dedicated pediatric anesthesiologist and an experienced operating room team that focuses on children.



Advanced Pediatric Minimally Invasive Surgery

Advances in medical technology now enable many surgeries to be performed using laparoscopy and endoscopy. Undergoing surgery is challenging for anyone, but especially for children who don’t understand pain in the same way as an adult. That’s why our surgeons prefer minimally invasive options to traditional surgery whenever possible. This method involves minimal pain, less scarring and quicker recovery. Most patients can return home in less than 24 hours.



These are of some of the minimally invasive surgical procedures/treatments offered at Cottage Children’s Hospital:


• Bronchogenic cyst repair
• Choledochal cyst repair
Crohn’s Disease bowel
• Cystic Adenomatoid
• Decortication/drainage of
Diaphragmatic hernia repair
• Diaphragmatic plication
• Distal pancreatectomy
• Duodenal atresia
• Duodenal duplication
• Esophageal duplication

• Fallopian tube cyst repair
• Fundoplication
• Gastrostomy placement
• Hirschprungs Disease
  pull-through procedure
• Imperforate anus repair
• Inguinal hernia repair
• Intestinal resection
• Intussusception

• Ladd’s operation
• Liver biopsy
• Lung biopsy and lung
• Meckel’s diverticulum
• Mediastinal mass removal
• Mesenteric cyst resection
• Nephrectomy
• Nissen fundoplication

• Nuss procedure (Pectus
  excavatum repair)
• Ovarian cystectomy
• Ovarian torsion
• Pancreatic pseudocyst
• Peritoneal dialysis catheter
  (drain) placement
• Pneumothorax treatment
• Pulmonary sequestration
• Pyloric stenosis
• Reflux and hiatal hernia
• Splenectomy and splenic
• Thoracic duct ligation
• Tracheo-esophageal fistula
• Ulcerative colitis
• Undescended testes
• Urachal remnant




Preparing Your Child for Surgery


Getting Ready: A video for pediatric surgical patients


We invite you to view a short video of Dr. Keshen performing a tracheo-esophageal fistula on a young patient. 
Click here >>