Helsinki University Children’s Hospital is the only dedicated children’s hospital in Finland. In addition to serving the primary catchment area of 1.5 million inhabitants in the Uusimaa region, we have national responsibility for pediatric cardiac surgery, hepato-biliary surgery, organ transplantations and other complicated pediatric surgical conditions. Our center provides all aspects of multidisciplinary pediatric surgical care and required supportive medical services. We offer high-quality pediatric surgical treatment of all congenital anomalies within the specialties of general, cardiac, hepato-biliary, airway, ear-nose-throat, neuro, and orthopedic surgery together with a nationwide program for vascular malformations. Around the clock emergency services are provided by these specialties along with our level one pediatric trauma center. We also run neonatal and pediatric intensive care units with ECMO pick up service. All modern diagnostic imaging modalities with advanced interventional radiology and a hybrid operation theatre as well as full endoscopy services are available. Advanced medical genetics and biobanking are routine parts of diagnostic assessments along with experienced pediatric pathologists. We perform each year a total of 9000 procedures under general anesthesia and 6000 surgical operations. In September 2018, we will move into an entirely new children’s hospital building equipped with modern state of the art technology designed to further improve patient care. At the same time a very special attention has been paid to enhance hospital experience for children and their families.
Pregnancies with antenatally detected fetal malformations are evaluated within our nationwide feto-maternal center by a multidisciplinary team including obstetricians, neonatologists, surgeons, anesthesiologists, cardiologists, neurologists, and radiologists. Applicable fetuses receive individually planned antenatal treatments. After selected mode of delivery, management of congenital malformations follows individually implemented, but standardized protocols form the very beginning. Multidisciplinary approach for planning and timing of reconstructive surgery is utilized. When necessary, diagnostic assessment continues after life threatening malformations are treated, combining a wide range of imaging studies, tissue pathology investigations, genetic analyses, metabolic studies, and surgical and endoscopic findings. Simultaneously with surgical and medical patient management physical and emotional development and social integration are supported. Families are actively informed and involved with decision making along the care process and follow-up, which often continues into adulthood. Peer support is endorsed by supporting contacts with patient group representatives. Despite successful reconstructive surgery, patients with congenital malformations often have long-term functional sequela that cannot be corrected by surgery alone, requiring continued support and follow-up also after childhood. Patient care and follow-up is led by one designated expert, who organizes appointments with a multidisciplinary management team including surgeons, gastroenterologists, neurologists, pulmonologists, stoma-nurses, dieticians, speech therapists, and social workers as well as adult physicians by the time of transition. In order to further improve management and outcomes of children with congenital malformations, we actively perform clinical and translational research and participate international multicenter treatment trials on multiple different areas on the field.