Abstract
With reference to psychosomatic growth after pediatric surgery, analytical studies were done using questionnair upon 310 cases who received surgery at Showa University Hospital in the past 10 years. Of these, 154 answers were divided into 127 major 27 cases of minor surgical groups. Post surgical health condition is quite satisfactory. At the present time, mental and emotional development is normal compared with healthy children. Complications resulting from the original disease are seen in 18 cases. 65% of the families have serious anxiety for relapse of the illness in the future As for the surgical scar, 11 patients desire to receive plastic repair in the future. In comparison of pre and post surgical conditions, 80 cases have no change, but 5 cases aggravated in the movement, and 26 cases improved in the health. From the view point of the Kaup Index in pre and post surgical conditions, almost all cases have showed remarkable improvement. In the psychological tests, the D. Q. (Development Quotient) values have improved in process of age. Analysis of the PAT (Parent Attitude Test) suggestes that the mental and emotional development after surgery is affected by patient's parent. In conelusion, the pediatric surgeons must give an adequate explanation of disease and post surgical course to parents for a better understanding of the situation for both patients and parents, thereby contributing to a healthy development of the character and mind of the children. For healthy psychosomatic development after surgery, recognition of patient's disease by the parents is the most important factor.
