Dr. Doug Miniati is an Assistant Professor of Surgery at the UCSF Division of Pediatric Surgery and Fetal Treatment Center. Dr. Miniati completed his undergraduate education in 1992, at Dartmouth College in Hanover, New Hampshire, where he received a BA in Biochemistry. He went on to obtain a medical degree from New York University School of Medicine in 1996, and then completed the first two years of general surgery residency at the University of Maryland. Initially interested in pursuing a career in cardiothoracic surgery, Dr. Miniati extended his clinical training to accept a two-year appointment as a postdoctoral research fellow in the cardiac transplantation biology laboratory of Robert Robbins at Stanford University. Following his research fellowship, Dr. Miniati decided to stay at Stanford for the remainder of general surgery residency. It was during this time that Dr. Miniati rotated through the pediatric surgery service, and realized where his clinical interests and enthusiasm lay.
With the support and encouragement of his Stanford mentors, Dr. Miniati embarked on pediatric surgery fellowship at Baylor College of Medicine/Texas Children's Hospital in 2004. There, he developed a clinical interest in congenital diaphragmatic hernia, particularly with respect to the development of treatment strategies to improve outcomes. Other areas of clinical interest for him are cystic lung masses and pediatric renal, non-Wilms', tumors-topics on which he has published in peer-reviewed journals. Now at UCSF, Dr. Miniati continues his clinical and basic science research pursuits, focused on the underlying biology and pathophysiology of pulmonary development, growth, and function.
Justin is being treated at the UCSF Comprehensive Center for Chest Wall Deformities, a new interdisciplinary pediatric clinic at UCSF Benioff Children's Hospital that offers a wide range of interventions for children with all types of chest wall deformities, from common to complex. Justin has the most common chest wall deformity called pectus excavatum, a congenital disorder which causes the chest to have a sunken or "caved in" appearance.
UCSF Pediatric Surgery has published thier first interactive Patient Guide iBook for the iPad. This multimedia guidebook is a free educational resource for families who are faced with Congenital Diaphragmatic Hernia (CDH). More guidebooks are being planned as well as epub versions for other ebook readers.
The inspiration for this project is a direct result of the generous support of the CDH research and patient education grant provided by the Nayeli Faith Foundation.
For years, surgeons have been seeking ways of operating on babies in the womb, reasoning that medical abnormalities are easier to address while the fetus is still developing. Now, for the first time, a large clinical trial has shown that fetal surgery can also benefit infants with non life-threatening conditions. The eight-year study reported in the New England Journal of Medicine, found that babies born with myelomeningocele, the most common form of spina bifida, a debilitating spinal abnormality, were twice as likely to walk and experienced fewer neurological problems with in utero repair versus standard post-natal repair.