CHKD Surgical Group Journal, Volume 4, 2015

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CHKD collaborates with Operation Smile

CHKD surgical services directory

ACL repair in young female athletes

CHKD welcomes new surgeons

CHKD Surgical Group Journal is a publication of Children’s Hospital of The

King’s Daughters Health System

Medical Editors: Joseph F. Dilustro, MD, FACS

Robert E. Kelly Jr., MD, FACS, FAAPJyoti Upadhyay, MD, FAAP

Douglas Mitchell, MD, FAAP

Managing EditorRidgely Ingersoll

Director of Marketing

EditorSharon Cindrich

Marketing & PR Manager

Graphic DesignersLiz Lane

Eric Cardenas

Multidisciplinary approach offers successful management of adolescent idiopathic scoliosisBy H. Sheldon St. Clair, MD, and John K. Birknes, MD

Summary: At CHKD, pediatric orthopedic surgeons and neurosurgeons collaborate to achieve best outcomes for children and young adults with adolescent idiopathic scoliosis.

Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis. It affects females 10 times more often than males and typically presents during the pre-adolescent growth spurt – at around age 10 for girls and age 14 for boys.

The classic evaluation for scoliosis is the Adams forward bend test. When a child with scoliosis bends forward, an asymmetrical elevation of the ribs may be present on one side. Asymmetrical alignment of the shoulder or hip, scapular prominence, or trunk shift may also be present. Other less obvious symptoms of AIS may include lesions along the back and pelvic obliquity. Pediatricians should also look for limb length discrepancies if AIS is suspected. (To see a brief video demonstration of a scoliosis screening with Dr. John Birknes, visit CHKD.org/Scoliosis.)

To best address the complex interdependency between the nerves of the spinal cord and the vertebrae of the spinal column, Children’s Hospital of The King’s Daughters offers a team approach to scoliosis treatment and spinal surgery. In addition to pediatric orthopedic surgeons and neurosurgeons, the team includes pediatric specialists in physical medicine and rehabilitation, anesthesiology and physical therapy, plus pulmonology and cardiology when appropriate. The team performs approximately 225 spinal surgeries a year on patients under the age of 21; two-thirds of these are for scoliosis.

Treatment plans are developed at weekly team conferences and are based on the location, shape and severity of curve, the number of curves and whether there is rotation of the spine, which occurs in many cases. Early diagnosis of scoliosis can allow treatment that prevents further progression of curves while the spine continues to grow. When scoliosis is suspected in pre-adolescents, an MRI may be indicated to rule out any alternative causes of a spinal deformity, such as a neurological lesion.

In cases of moderate severity, bracing is the most common first treatment for scoliosis. Bracing rarely corrects curves, but it can keep them from progressing and therefore prevent the need for surgery when they get older. CHKD surgeons

H. Sheldon St. Clair, MD

John K. Birknes, MD

2 CHKD Surgical Group | Journal | Vol. 4, 2015

CHKD surgeon awarded R. Bryan Grinnan, M.D.

Memorial Research Award

The R. Bryan Grinnan, M.D. Memorial Research Award was presented to CHKD cardiac surgeon Felix Tsai by the American Heart Association on March 8, 2014. In addition to providing surgical treatment of congenital heart disease, Dr. Tsai has implemented blood conservation measures to improve pediatric cardiac surgery outcomes and has helped standardize operative checklists and postoperative handoffs at CHKD to improve overall patient safety. To reach Dr. Tsai, please call 668-8850.

Dr. Birknes is board certified in neurological surgery and fellowship trained in pediatric spinal deformities. You may reach him at (757) 668-7990. Dr. St. Clair is board certified in orthopedic surgery, you may reach him at (757) 668-6550.

Pre-operative X-ray (left) of a female patient age 17 with 58 degree upper spinal curvature and a 40 degree lower spinal curvature. Post-operative X-ray(right) shows correction using the Ponte osteotomy which employed two cobalt alloy rods and 18 screws.

Felix Tsai, MD

employ several types of braces and both full-time and night-only systems. The location of the curve and skeletal maturity of the patient help determine the most effective bracing program.

Physical therapy prior to surgery can improve body mechanics and help with the mechanical pain often associated with scoliosis. While exercise programs have not been shown to affect the progression of scoliosis, they remain a part of the overall program in the treatment of scoliosis. CHKD physical therapists have specialized training in exercises designed to help patients with idiopathic scoliosis prior to surgery.

Patients with thoracic curves greater than 50 degrees and thoracolumbar curves greater than 40 degrees are candidates for surgical correction. Untreated deformities often continue to progress throughout life and can result in significant cosmetic deformity as well as pain or even cardiopulmonary compromise.

Modern scoliosis surgery is a far cry from the procedures of earlier decades that involved several months of bed rest in a body cast. Contoured and segmented instruments are more stable and have improved surgeons’ ability to correct curves and rotations. CHKD’s surgeons use titanium and cobalt chrome implants during surgery to correct the deformity; bone fusion over the levels of the implant provides permanent correction.

CHKD has also recently adopted the Ponte osteotomy procedure in which facet joints and interspinous ligaments are removed to tilt the bones posteriorly through a mobile disc space, which allows the surgeon to return the spine to normal degrees of kyphosis.

Typical recovery time for idiopathic scoliosis surgical corrections includes a five-day hospitalization, physical therapy, one month with limited activity before return to school and six months of protection from vigorous stress to the spine.

Included among CHKD’s spine surgeon specialists are Drs. H. Sheldon St. Clair, John Birknes, Marc Cardelia, Carl St. Remy, Allison Crepeau, Allison Tenfelde and Jeremy Saller.

CHKD’s scoliosis program is designed to provide personalized treatment plans and correction for all levels of AIS using the most current techniques. The CHKD team works closely with families toward desired outcomes to remove physical discomfort, to improve symmetrical physical appearance and emotional well-being and to prevent future physical complications. Long-term outcomes are best when AIS is treated through early referral and intervention.

CHKD Surgical Group | Journal | Vol. 4, 2015 3

Preoperative CT scans show significant impact of the central ossifying fibroma on patient’s orbit, nasal bones, contralateral maxilla and mandible.

Before surgery.

After surgery.

Last spring, surgeons from CHKD and Operation Smile, the renowned Norfolk-based charity, collaborated to excise a massive tumor positioned inside the maxillary sinus of a 15-year-old girl. The growth on the patient’s left maxilla was first resected in 2011 in a Haitian hospital

near the girl’s home, but recurrence and rapid growth followed.

The mass eventually displaced the patient’s left eye and orbit, causing exposure keratitis and blindness. It also displaced her nose and lower jaw, causing an open bite and difficulty in chewing and swallowing. Physicians suspected the mass to be an ameloblastoma, fibrous dysplasia or desmoid tumor.

CT scans and MRI studies showed the large maxillary mass displacing the orbit, nasal bones, contralateral maxilla and the mandible. It extended to the base of the cranium but did not penetrate it.

Operation Smile accepted the patient as a World Care patient for surgery in the United States and reached out to CHKD, its longstanding partner in charitable pediatric craniofacial reconstruction for international patients. With support from a private donor, the patient was transferred to Norfolk to receive the complicated and multi-disciplinary removal and reconstruction.

On April 28, 2014, a surgical team assembled at CHKD for a left maxillectomy and tumor excision. In addition

to Dr. William Magee, Operation Smile co-founder and head plastic surgeon for the procedure, the surgical team included Drs. Jegit Inciong and George Hoerr, CHKD plastic and craniofacial surgeons; Dr. Joseph Dilustro, CHKD pediatric neurosurgeon; and Dr. Eric Crouch, a pediatric ophthalmologist.

After removal of the tumor, surgeons used Medpor orbital and maxillary implants and coverage with a temporalis muscle flap and multiple mucosal and skin flaps to reconstruct the upper jaw. A mandibular osteotomy was also done to correct the positioning of the distorted mandible.

A secondary procedure was performed in July to reconstruct and reposition the left lower eyelid and the upper and lower lips. The surgery included the use of multiple skin and mucosal flaps and grafts to reshape the left side of the face. A genioplasty was done to correct chin symmetry, and surgery was performed on the left eye to preserve the globe. The patient was fitted for an eye prosthesis and dentures.

Final pathology showed the tumor to be a central ossifying fibroma of the maxilla. The patient remained on a medical visa until September for follow-up care by CHKD’s craniofacial surgeons before returning to Haiti. She is now home and back in school enjoying life as a normal teenager.

CHKD’s multidisciplinary craniofacial team performed approximately 150 procedures in 2014. The team is accredited by the American Cleft Palate-Craniofacial Association (ACPA).

CHKD collaborates with Operation Smile on patient with rare maxillary tumorBy Jesus “Jegit” Inciong, MD

Jesus “Jegit” Inciong, MD

Summary: CHKD’s craniofacial reconstruction team create a new future for young patient from Haiti.

Dr. Inciong is a board-certified plastic surgeon at CHKD. You may reach him at (757) 668-7713.


Gary Tye, MDMD Degree: Medical College of Virginia

Residency: Neurological Surgery, Medical College of Virginia

Fellowship: Cincinnati Children’s HospitalCertification: American Board of Neurological SurgerySpecial Interests: Pediatric neurosurgery; tethered cord; epilepsy; brain tumors; endoscopic surgery; minimally invasive surgery

E-mail Address: [email protected]

Orthopedics & Sports MedicineLocated in Norfolk, Chesapeake, Virginia Beach and Newport NewsSurgeries offered at CHKD Surgery Centers in Norfolk, Newport News and Virginia BeachAppointments & consults ............................... (757) 668-6550Same-day appointments .............................. (757) 668-6545Fax ............................................................... (757) 668-6544

J. Marc Cardelia, MDMD Degree: Thomas Jefferson University Medical College, PhiladelphiaResidency: Surgery, UMDNJ–Robert Wood Johnson Medical School, New Brunswick, NJ

Fellowship: Pediatric Orthopedics, Rady Children’s Hospital, San Diego

Certification: American Board of Orthopedic Surgery

Special Interests: Sports injuries; spinal deformity; trauma in children


Allison Crepeau, MDMD Degree: Georgetown University School of Medicine

Residency: Orthopedics, SUNY at Stony Brook

Fellowship: Pediatric Orthopedic Surgery, Arnold Palmer Hospital for Children; Pediatric and Adult Sports Medicine, Boston Children’s Hospital

Special Interests: Sports medicine; dance medicine; hip arthroscopy for treatment of labral tears and impingement


Cara Novick, MDMD Degree: New York University School of Medicine

Residency: Orthopedics, New York University Medical Center/Hospital for Joint Diseases

Fellowship: Pediatric Orthopedic Surgery, Shriner’s Hospital for ChildrenSpecial Interests: Office-based pediatric orthopedics, fracture management, sports medicineCertification: American Board of Orthopedic Surgery


Cardiac SurgeryLocated at CHKDSurgeries offered at CHKD in NorfolkConsults......................................................... (757) 668-8850Fax ............................................................... (757) 668-9344

Felix Tsai, MDMD Degree: Northwestern University

Residency: General Surgery, Morristown Memorial Hospital; Cardiothoracic Surgery, George Washington University

Fellowship: Pediatric Cardiothoracic Surgery, Medical University of South Carolina

Certification: American Board of Thoracic Surgery

Special Interests: Neonatal heart surgery; mechanical circula-tory support; quality improvement; enhanced patient safety


NeurosurgeryLocated at CHKDSurgeries offered at CHKD in NorfolkAppointments & consults ............................... (757) 668-7990Fax ............................................................... (757) 668-7995

John Birknes, MDMD Degree: Jefferson Medical College, Philadelphia

Residency: Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia

Fellowship: Pediatric Neurosurgery, Children’s Hospital of Philadelphia; Pediatric Spinal Deformity and Scoliosis, Shriners Hospital for Children of Philadelphia

Certification: American Board of Neurological Surgery

Special Interests: Brain tumors; spinal deformity and scoliosis; Chiari malformation; hydrocephalus; epilepsy; spina bifida/cere-bral palsy; neuro-endoscopy


Joseph Dilustro, MD, FACSMD Degree: Eastern Virginia Medical School

Residency: Neurological Surgery, Eastern Virginia Medical School Graduate School of Medicine

Fellowship: Microvascular and Cerebrovascular Surgery, London Health Sciences Center, University of Western Ontario

Certification: American Board of Neurological Surgery

Special Interests: Craniofacial surgery; brain tumors; spina bifida/cerebral palsy; hydrocephalus; cerebrovascular disorders in children; Chiari malformation


Jeremy Saller, MD MD Degree: Medical School Texas Tech Health Science Center

Residency: Medical School Texas Tech Health Science Center in Lubbock, Texas

Fellowship: Alfred I. duPont Hospital for Children


Special Interests: Clinical interest in neuromuscular disorders, limb deformity correction and spinal deformity surgeryE-mail Address: [email protected]

H. Sheldon St. Clair, MD MD Degree: Medical College of Virginia Residency: Orthopedics, Tufts- New England Medical Center Hospital, BostonFellowship: Pediatric Orthopedics, Boston Floating Hospital for ChildrenCertification: American Board of Orthopedic SurgerySpecial Interests: Scoliosis and spinal deformities; cerebral palsy; neuromuscular diseases; limb lengthening and deformity correction; congenital deformities; sports injuriesE-mail Address: [email protected]

Carl R. St. Remy, MDMD Degree: Columbia University College of Physicians and Surgeons, New York

Residency: Orthopedics, New York Orthopaedic Hospital, Columbia University-Presbyterian Hospital, New York

Fellowship: Pediatric Orthopedics, Texas Scottish Rite Hospital for Children, Dallas


Special Interests: Scoliosis and spinal deformities; neuromus-cular disorders; limb reconstruction; congenital deformities; sports injuries; trauma


Allison Tenfelde, MDMD Degree: Michigan State University College of Human Medicine

Residency: Orthopedics, Michigan State University

Fellowship: Pediatric Orthopedics, University of Michigan – Mott Children’s Hospital; Orthopedic Sports Medicine, Detroit Medical Center


Special Interests: Pediatric and adolescent sports injuries; arthroscopic surgery of the shoulder, knee and elbow


CHKD Surgical GroupFor physician-to-physician consults and access: Call CHKD Doctors Direct, (757) 668-9999 or 1-800-207-2022

For a complete list of pediatric specialists and surgeons, visit chkd.org/referraldirectory


Pediatric SurgeryLocated at CHKD, Virginia Beach, Chesapeake and Newport NewsSurgeries offered at CHKD Surgery Centers in Norfolk, Newport News and Virginia BeachAppointments & consults .......................... (757) 668-7703Fax .......................................................... (757) 668-8860

Frazier Frantz, MD, FACSMD Degree: Duke University School of Medicine

Residency: General Surgery, Medical College of Virginia

Fellowship: Pediatric Surgery, Children’s Hospital Medical Center, Cincinnati

Certification: American Board of Surgery, Pediatric Surgery

Special Interests: Surgical treatment of colorectal diseases in children; congenital chest wall deformities; vascular anomalies


Michael Goretsky, MD, FACS, FAAPMD Degree: State University of New York, Stony Brook

Residency: General Surgery, University of Cincinnati; Pediatric Surgery, Children’s Hospital of Michigan, Detroit

Fellowship: Surgical Research, Shriners Burn Institute, Cincinnati; ECMO, Children’s Hospital of Cincinnati


Special Interests: Minimally invasive surgery; Hirschsprung’s disease; non-cardiac thoracic surgery; Nuss proce-dure for pectus excavatum repair and other chest deformities


Robert E. Kelly Jr., MD, FACS, FAAPMD Degree: Johns Hopkins University

Residency: Surgery, Vanderbilt University, Nashville

Fellowship: ECMO and Surgical Research, UCLA School of Medicine, Los Angeles; Pediatric Surgery, Children’s Hospital of Buffalo


Special Interests: Esophageal and pulmonary problems; neck masses; Hirschsprung’s disease; Nuss procedure for pectus excavatum repair and other chest deformities; pectus carinatum


M. Ann Kuhn, MD, FACS, FAAPMD Degree: Marshall University, John C. Edwards School of Medicine

Residency: General Surgery, Ohio State University

Fellowship: Pediatric Surgery, University of Oklahoma Health Sciences Center


Special Interests: Minimally invasive laparoscopic surgery; Nuss procedure for pectus excavatum repair and other chest deformities; colorectal disease; thoracic surgery; surgical oncology


Michele Lombardo, MDMD Degree: Boston University School of Medicine

Residency: General Surgery, Brown University and Rhode Island Hospital

Fellowship: Pediatric Surgery, Brown University and Hasbro Children’s

Certification: American Board of Surgery

Special Interests: Minimally invasive surgery; thoracic surgery; surgical oncology; ovarian tumorsE-mail Address: [email protected]

Robert J. Obermeyer, MD, FACS, FAAPMD Degree: University of Cincinnati College of Medicine

Residency: General Surgery, Western Reserve Care Forum Health

Fellowship: Pediatric Surgery, University of Arkansas Children’s Hospital; Minimally Invasive Surgery, Baylor College of Medicine


Special Interests: Minimally invasive laparoscopic surgery; pediatric thoracic surgery; pediatric surgical oncology; Nuss proce-dure for pectus excavatum repair and other chest wall deformities


Plastic SurgeryLocated at CHKD, Chesapeake, Virginia Beach and Newport NewsSurgeries offered at CHKD Surgery Centers in Norfolk, Newport News and Virginia BeachAppointments & consults .......................... (757) 668-7713Fax .......................................................... (757) 668-7711

George Hoerr, MDMD Degree: University of Missouri, Columbia

Residency: General Surgery, EVMS/Sentara Norfolk General/CHKD; Plastic Surgery, University of California – Irvine

Fellowship: Pediatric Plastic Surgery, USC/Children’s Hospital of Los Angeles

Certification: American Board of Plastic Surgery

Special Interests: Craniofacial surgery; congenital ear reconstruction; cleft lip and cleft palate; birthmarks and heman-giomas; congenital hand surgery


Jesus “Jegit” Inciong, MD, FACS, FAAPMD Degree: University of the Philippines

Residency: Plastic Surgery, University of the PhilippinesFellowship: Plastic Surgery, University of Southern California, University of Miami; Microsurgery and Craniofacial Surgery, Eastern Virginia Medical School

Certification: American Board of Plastic Surgery

Special Interests: Craniofacial Surgery, Cleft Lip and Palate Surgery, Microsurgery, Birthmarks and Vascular Anomalies, Breast Reduction and Reconstruction, Congenital Hand AnomaliesE-mail Address: [email protected]

UrologyLocated at CHKD, Chesapeake, Virginia Beach, Newport News and WilliamsburgSurgeries offered at CHKD Surgery Centers in Norfolk, Newport News and Virginia BeachAppointments & consults .......................... (757) 668-7878Fax .......................................................... (757) 668-7883

Charles Horton Jr., MD, FAAP, FACS MD Degree: Eastern Virginia Medical School

Residency: General Surgery, Dartmouth University; Urology, Harvard University

Certification: American Board of Urology

Special Interests: Urogenital reconstruction; hypospadias; laparoscopy


Jyoti Upadhyay, MD, FAAPMD Degree: Wayne State University, Michigan

Residency: General Surgery, Wayne State University; Urology, Wayne State University

Fellowship: Pediatric Urology, Hospital for Sick Children, Toronto


Special Interests: Complex genitourinary reconstruction, includ-ing augmentation cystoplasty and catheterizable urinary stomas for neurogenic bowel and bladder disease; reconstructive surgery for ambiguous genitalia, congenital adrenal hyperplasia and intersex states; microscopic varicocelectomy; minimally invasive laparoscopic kidney procedures; ureteroscopy; holmium laser use for pediatric kidney and ureteral stones; certified to perform daVinci robotic-assisted pyeloplasties for ureteral anomalies


Louis Wojcik, MDMD Degree: Vanderbilt University School of Medicine

Residency: Brown University

Fellowship: Children’s Hospital San Diego


Special Interests: Hydronephrosis; hypospadias; undescended testis; vesicoureteral reflux


ACL Injury in Young Female Athletes – Prevention and RepairBy Allison Tenfelde, MD CHKD Orthopedics and Sports Medicine

Increasing numbers of young female athletes are tearing their anterior cruciate ligament, or ACL. CHKD offers a proactive approach to preventing ACL injuries in adolescent girls, as well as advanced surgical techniques to repair ACL tears in young athletes. These

techniques provide long term stability to the knee and developing growth plates and prevent future complications such as leg-length discrepancies and angular deformities.

According to the American Academy of Orthopaedic Surgeons, female athletes who participate in jumping and pivoting sports are two to 10 times more likely to sustain a knee ligament injury than male athletes participating in the same sports. The risk is particularly high in athletes participating in soccer, basketball, volleyball and gymnastics. Anatomy, muscle mass and training put female athletes at an increased risk, especially after puberty. The ACL is especially vulnerable at certain times during a teen girl’s menstrual cycle.

Research has shown that with proper training, the incidence of ACL injuries in female athletes can be lowered by as much as 80 percent. The CHKD sports medicine program has developed an ACL injury prevention program called CHKD Strong Girls to train female athletes as a first line of defense against ACL tears. Pediatric sports medicine physical therapists, exercise therapists and certified athletic trainers work with athletes to improve performance and prevent injury through strengthening techniques, core stabilization exercises, plyometrics, stretching, balance and coordination training. The six-week CHKD Strong Girls program meets two times a week to focus on proper jumping, landing and cutting techniques. Coaches and trainers can also arrange for a personalized CHKD ACL injury-prevention program for their entire team.

The risk of ACL injury increases for female athletes by the age of 12 and for male athletes by the age of 14. When an athlete incurs a sudden or severe ACL tear, a loud popping sound is generally heard in the knee and the patient presents with pain, swelling and instability of the knee joint. Diagnosis can be

Allison Tenfelde, MD

Summary: CHKD sports medicine program provides comprehensive techniques to prevent and correct ACL tears in female athletes.



Tears to the anterior cruciate ligament can generally be repaired using physeal-sparing techniques, which use a ligament graft to eliminate the risk of growth plate disturbance.

CHKD pediatric urologist Jyoti Upadhyay, MD, has been elected treasurer of the Virginia Chapter of the Association of Women Surgeons (AWS). She also serves on the education committee of the national group. The AWS was established in the 1980s by members of the American College of Surgeons to address the specific challenges women face in surgical careers.

Virginia was the first state to organize and incorporate a state chapter of AWS, with the goal of developing relationships among women surgeons on the local level and providing residents and students with role models and career development opportunities. “Our ultimate goal is to attract more women to surgical careers and to offer them the mentorship and support they will need to succeed,” says Dr. Upadhyay.

For more information on the AWS, visit womensurgeons.org. To reach Dr. Upadhyay, call 668-7878.

determined through a physical examination of the joint and confirmed with an MRI. When an ACL tear is sustained by a young athlete, surgery is often required to prevent clinically significant knee instability and additional injuries in the future. Studies have also shown that surgical corrections of ACL tears in young athletes improve the likelihood that they will return to their previous level of activity.

CHKD pediatric orthopedic surgeons repair ACL tears surgically in pre-adolescent patients using an advanced technique called physeal-sparing. Physeal-sparing is a minimally-invasive procedure done arthroscopically through small incisions surrounding the knee. A ligament graft is used to re-create the ACL. Then tunnels are established through the femur and tibia to thread and secure the tendon graft, using fluoroscopy to ensure that the physis is avoided. This procedure eliminates the risk of growth plate disturbance associated with traditional repair techniques and leaves the patient with a very low likelihood of requiring additional surgery when the bones stop growing. Last year, CHKD surgeons performed 63 ACL surgeries. Generalized complications are extremely rare but can include infection, re-tear, loss of motion, continued pain after surgery and inability to return to prior level of sports participation. The procedure requires a one-night hospital stay and physical therapy. Most patients can return to full activity within six to nine months of surgery with appropriate post-operative care and specialized physical therapy.

The CHKD Sports Medicine program takes a comprehensive approach to treating young athletes in every sport. Our team is composed of pediatric orthopedic surgeons, sports medicine primary care physicians, physician assistants, certified athletic trainers and pediatric sports medicine physical therapists to provide the most thorough care available for ACL prevention and tears in female and male athletes. For more information on ACL surgery at CHKD or our ACL injury prevention program, call (757) 668-7529 (PLAY), or visit CHKD.org/sportsmedicine.

CHKD Transfer Center facilitates urgent referralsThe CHKD Transfer Center facilitates communications for urgent referrals to CHKD’s trauma service, emergency department, NICU, PICU or general inpatient units. To reach the service, call (757) 668-8000. The toll free number is (844) 480-8000.

Calls are answered by paramedics who will obtain information from the referring provider and conference the attending CHKD physician into the call. The transfer center paramedic will stay on the line to coordinate logistical support, including activation of the CHKD transport team when needed.

When calling the CHKD Transfer Center for an urgent referral, please be prepared to provide the following:

• Facility and/or referring provider name and contact information

• Current status of patient

• Diagnosis

• Service requested

• Patient name and date of birth

For physician-to-physician consults that do not involve transfer, transport or urgent admissions, please call Doctors Direct at (757) 668-9999 or (800) 207-2022.

Allison Tenfelde is a board-certified orthopedic surgeon at CHKD. You may reach her at (757) 668-6550.

Jyoti Upadhyay, MD

CHKD urologist elected treasurer of the Virginia Chapter of the Association of Women Surgeons (AWS)

601 Children’s LaneNorfolk, VA 23507

CHKD Surgical Group welcomes new surgeonsDr. Gary Tye has joined the neurosurgery practice of CHKD’s Surgical Group. Dr. Tye received his medical degree from the

Medical College of Virginia, where he also completed a residency in neurosurgery. After serving as chief resident in neurosurgery at the Medical College of Virginia, Dr. Tye completed a fellowship in pediatric neurosurgery at Cincinnati Children’s Hospital. His clinical interests include pediatric neurosurgery, tethered cord, epilepsy, brain tumors, endoscopic surgery and minimally invasive surgery.

Dr. Jesus “Jegit” Inciong has joined the plastic and reconstructive surgery practice of CHKD’s Surgical Group. Dr. Inciong received his medical degree

from the University of the Philippines, where he also completed a residency in plastic surgery. After finishing a fellowhip in plastic surgery at the University of Southern California, Dr. Inciong completed fellowships in plastic surgery at the University of Miami and microsurgery and craniofacial surgery at Eastern Virginia Medical School. Dr. Inciong has been a longtime volunteer for Operation Smile, performing cleft lip and palate repairs all over the world and is board certified by the American Board of Plastic Surgery.

Dr. Jeremy Saller has joined the orthopedic surgery practice of CHKD’s Surgical Group. Dr. Saller attended medical school

at Texas Tech Health Science Center in Lubbock, Texas, where he also completed his residency. He completed a fellowship at Alfred I. duPont Hospital for Children in Wilmington, Delaware, and has a clinical interest in neuromuscular disorders, limb deformity correction and spinal deformity surgery.

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CHKD collaborates with Operation Smile

CHKD surgical services directory

ACL repair in young female athletes

CHKD welcomes new surgeons

CHKD Surgical Group Journal is a publication of Children’s Hospital of The

King’s Daughters Health System

Medical Editors: Joseph F. Dilustro, MD, FACS

Robert E. Kelly Jr., MD, FACS, FAAPJyoti Upadhyay, MD, FAAP

Douglas Mitchell, MD, FAAP

Managing EditorRidgely Ingersoll

Director of Marketing

EditorSharon Cindrich

Marketing & PR Manager

Graphic DesignersLiz Lane

Eric Cardenas

CHKD Surgical Group Journal, Volume 4, 2015

Documents

Transcript of CHKD Surgical Group Journal, Volume 4, 2015