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Dr. Charles Vinocur

Pediatric Surgery
Wilmington, DE
49 years experience male

Locations

Office

Wilmington, DE

Address

Ai Dupont Hosp Surgery Dept, 1600 Rockland Road, Wilmington, DE
Directions

My office hours

Wednesday: 1:00pm - 5:00pm
Show more

Insurances accepted

Aetna

BlueCross BlueShield

UnitedHealthcare

Alfred I duPont Hospital for Children

Wilmington, DE

Office

Wilmington, DE

About

Bio

I am dedicated to improving the care of children and their families. I have apsecial interest in issues relating to anorectal malformations, including imperforate anus, Hirschsprung Disease, cloacal anomalies, caudal regression and patients who have these issues. I also have a focus on newborn surgery and endocrine surgery (thyroid, parathyroid, adrenal), oncologic (cancer) surgery, as well as all common pediatric surgical issues such as hernias, hydroceles, undescended testis and neck masses. It is essential to include the family in the care of the child and support them and their needs in a safe and caring environment. Outside the hospital, I am very involved in improving quality and outcomes for all children wherever they are cared. (see publications)

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Pediatric Surgery

Languages spoken

English

Doctor Q&A

56 Answers
85 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Bowel management: Depending on the level of the original defect, continence may/may not just happen. However, most boys need a bowel management program. There are sev... Read More
A 37-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Tract to intestine: The duct is a connection that was necessary when your baby was in utero but should disappear. If not, it can be connected to the intestine at somethi... Read More
A 32-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Evaluation: Is indicated. Is the baby a male/female? Did the baby have a meconium stool in the first 48 hrs of life? If not, the baby needs to be evaluated. Is... Read More
A 35-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Distention, vomiting: Most toddlers stool every day but can go several days. If stool is hard, it hurts when the child stools and so may 'stool hoard', especially during to... Read More
A 43-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Difficult to answer: I cannot tell you. there are small omphaloceles that are essentially a big umbilical hernia. However, many have other problems as it forms at the sa... Read More
A member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
It is age dependent: Most occur in children from 3-12 months and have no pathologic reason for them to occur and are 'reduced' by an air/contrast enema. When older, there... Read More
A member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Projectile vomiting: Hypertrophic pyloric stenosis occurs in infants from 2-6 weeks. There is projectile vomiting. If untreated, they become dehydrated and very sleepy. ... Read More
A 35-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Ultrasound/xray: This depends whether before or after birth. An ultrasound of the fetus may identify dilated bowel which may/may not be an atresia. Similarly after de... Read More
A 36-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Possibly: In general, most patients with properly performed correction of H.D.Do extremely well with no long term impact. However, some have issues with consti... Read More
A 44-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Lack of nerve cells: Aganglionsis or hd is the result of failure of the bowel to relax. Peristalsis or progression of contractions of the intestine are halted wherever th... Read More
A 39-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
No: Volvulus is twisting of the intesting and, in general, if not untwisted within 6 hours, the bowel will die. There are children with a chronic volvulu... Read More
A 28-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Pediatric surgeons s: Pediatric surgeons specialize in the surgical care of children. They are surgeons who, by training, are oriented toward working with children and unde... Read More
A 44-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Provide information: There are some forms of hd that occur in familities and that may be the case here. A full term child should pass meconium(first stool) within 48 hours... Read More
A member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Have him evaluated: Hemorrhoids are very rare in children and it may be that this is not the correct diagnosis. He needs to be evaluated. He may have rectal prolapse or... Read More
A 27-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Prob. constipatios: This can be a complex issue depending on whether your childhas a successful kasai procedure or not. In general, the most common reason for tummy ache... Read More
A 39-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
In general, not: If you have always had a dimple, it probably is not an issue unless it gets repeatedly infected. This is different from a pilonidal sinus which needs... Read More
A 46-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
In general, no: Pain may be do to tethering of the scar to the underlying closure. This can occur as a person grows. There may be a hernial defect in the scar. It... Read More
A 27-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Anal fissure/polyp: Anal fissure from constipation is most likely the cause and treated easily. Occasionally a child may have a juvenile polyp and it bleeds as it is tryi... Read More
A 36-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Probably not: In general, postsacral dimples are found in babies and are related to a coccyx that is retroverted. I believe you probably have a pilonidal sinus. T... Read More
A 31-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Irrigations: If your child is very ill, irrigations with saline in small volumes in and out which can decompress the colon and bypass the obstruction. This is a t... Read More
A 57-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Can't answer: I am not implying that this is a clandestine process. Rather, the senior surgeon is present an directs every part of the case, that is, he/she ensur... Read More
A 38-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Adult/child: Babies born with a sacral dimple (at the tip of the coccyx) rarely have any issue other than dermatitis if deep and not cleaned. Any 'dimple' above t... Read More
A 38-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Bowel problem: Hirschsprung is a disease of the intestine which is missing the nerves required to allow relaxation of the bowel so the stool can pass. It is disease... Read More
A 45-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Confirmed at surgery: If the direct bilirubin is elevated, there is a concern. Stools are white as there is no bilirubin. In general, the bili is around 8 with a direct com... Read More
A 48-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Age of correction: Most hd is diagnosed in infants and children. If delayed, the intestine become very dilated and less functional and remains distended. Early only, reg... Read More
A 28-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Looks like a target: An intussusception is a condition where one loop of the bowel telescopes into another. On ct one sees concentric circles where the layers of the bowe... Read More
A 33-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Age & type dependen: There is no typical course of neuroblastoma. Best outcomes are in children less than 1 year of age with good histology and localized when diagnosed.
A 27-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Sacral dimple: In general, if these dimple is not too deep and is easily cleaned, nothing needs to be done. It is not the etiology of a pilonidal cyst. Pediatric s... Read More
A 34-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Rarely problematic: One must be clear about what is meant by a sacral dimple. Children are born with these dimples. Occasionally, they are deep and get irritated/infect... Read More
A 52-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Possibly: You have not indicated the area of the the spondolythesis. If in the area of the scoiliisis, then possibly. If not, there is no way to know. Many p... Read More
A 35-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
THere are many: There are many very good children's hospitals in and around Chicago. Lurie is the name of what was Children's Memorial hospital. There are many othe... Read More
A 40-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Age & sex dependent: Most low ia patients are girls. If the opening is in the vagina, the operation is more extensive than outside the vagina. One corrected, the new anu... Read More
A 49-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Be evaluated: There are a number of reasons that you may not be able to use a tampon. You need to be evaluated by a gynecologist. If your hymen is intact and you ... Read More
A 46-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Need clarification: Twisted bowels may be referring to malrotation where they intestines do not rotate normally in utero and so can 'twist' on them selves. Some are chro... Read More
A 47-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Paraesophageal herni: It is unlikely you had a diaphragmatic hernia. Rather you had a paraesophageal or sliding hernia. This means a portion of the stomach either came al... Read More
A 57-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Good outcome?: It is likely that the head directed an intern in the procedure. This occurs in training centers as there is no other way to teach trainees who might ... Read More
A 29-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Need evaluation: This may be due to loss of ganglion cells in the pullthrough, that there is still hd and the pullthrough was not at the correct level, or you have hyp... Read More
A 18-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Controversial: There are people who have point tenderness at the location of the appendix but without fever, signs of infection. They may have obstruction of the ap... Read More
A 39-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Needs evaluation: It is probably a pilnidaly sinus/abscess that is bleeding. It needs evaluation. It is an early sign of an infection in the hair bearing area.
A 36-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Yes: Intussusceptions occur all the time and resolve spontaneously. It occurs commonly in babies under 1 year of age. Rarely is there a cause. In older ... Read More
A 33-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Yes: Depending on the child's age, they may be given a medicine by mouth/nose to help the child relax and have little/no memory of the event. In general, ... Read More
A 31-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Second opinion: I do not do this type of surgery but, if you are not comfortable with the answer, see another pediatric neurosurgeon at a children's hospital.
A 28-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Beneath belly button: The lower abdomen is the area below the umbilicus(belly button) from one side of the abdomen(belly) to the other.
A 30-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Possibly: Many people have a minimal degree of scoliosis and it has little effect on them or their lives. Others have progressive scoliosis and it may lead to ... Read More
A 45-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Duodenum-congenital: The cause is the same, a failure of the process of developing an opening in the duodenum in utero. About 1/3 of the cases are found in children with d... Read More
A 30-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Absence of bile duct: The liver makes bile and the bile cannot get into the intestine. Treatment is removing the bad/scarred duct area at the edge of the liver and sew up ... Read More
A 41-year-old male asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Mayneed further eval: Medical management is usually successful in an otherwise healthy child. Intervention may be required in children with complications of relfux: failur... Read More
A 35-year-old female asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Evaluation: Presuming she has seen a GI doc and correctable causes have been ruled out, i would suggest you see someone who specializes in bowel management progr... Read More
A 35-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Unknown: No one knows the exact cause of the atresia. The duodenum goes through a phase where is is "solid" and then an opening develops. Something happens a... Read More
A 33-year-old member asked:
Dr. Charles Vinocur
Pediatric Surgery 49 years experience
Bowel management: Ia can be complex and patients may not be able to control stooling. There are many reasons. Bowel management is a way for ia patients to control the... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
110
Thank you notes
Jan 3, 2014
You have my vote! Thank you for being here. I really appreciate you.
HealthTap member
Mar 30, 2015
Dr. Vinocur is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Vinocur is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! My son has a hump and he has 90 percent curve he is 26 yrs kyphosis sc
HealthTap member
Thank you, your answer was very helpful! Wow! That is fascinating and contrary to the norm belief
HealthTap member
Thank you, your answer or tip was very helpful!

Education & Training

Medical/Graduate school

University of Michigan Medical School
Graduated 1973MD

Residency

SUNY Medical Center

Residency

University of Michigan Health System

Residency

State University of New York, Syracuse

Awards

Top Pediatric Surgeon , Third Place, National - Summer
2013

Affiliations

American College of Surgeons
Society for Surgery of the Alimentary Tract
American Pediatric Surgical Association
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less