Pediatric Surgery

Children have unique surgical needs, Our Surgeons utilize their expertise in providing in surgical care for all problems and conditions affecting children that require surgical intervention focusing on child’s well-being first. Our surgeons use latest technologies and procedures for the best possible results .


Our dedicated pediatric anesthesiologists and specialized nurses are at the forefront  of managing pediatric patients 


Our Services:



  • General pediatric surgery: Hernia, Hydrocele, Circumcision, Undescended testis.

  • Pediatric Emergencies: Appendicitis, Intussusception, Intestinal obstruction, Torsion Testis, Torsion ovary

  • Pediatric Urology: Hypospadias, Posterior Urethral valves, Vesicoureteric Reflux, Hydronephrosis 

  • Neonatal Surgery: Anorectal Moaformations Hirschsprungs disease Trachea esophageal fistula congenital diaphragmatic hernia neonatal intestinal obstruction 

  • Pediatric laparoscopic and endoscopic surgeries: Appendectomy Hernia Repair Orchidopexy, pyeloplasty  

  • Pediatric Thoracic  Surgeries: Decortications, Lung resection Biopsy.

  • Throracoscopic: Decortications, Repair diaphragmatic hernia.


What is a Pediatric Surgeon?


When your child needs medical treatment, you want him or her to have the very best care available. So it stands to reason that if your child needs an operation, you will want to consult with a surgeon who is qualified and experienced in operating on children.


Surgeons who specialize in general surgery often provide surgical care for children, and they are fully qualified to perform many operations on children.


In more urbanized areas of the country, another kind of surgeon — the pediatric surgeon — is also available to provide comprehensive surgical care for children.


Pediatric surgeons operate on children whose development ranges from the newborn stage through the teenage years. In addition to completing training and achieving board certification, pediatric surgeons complete three additional years of training exclusively in children's surgery. They then receive special certification in the subspecialty of pediatric surgery.


What is the pediatric surgeon's role in treating the child?


Pediatric surgeons are primarily concerned with the diagnosis, preoperative, operative, and postoperative management of surgical problems in children. Some medical conditions in newborns are not compatible with a good quality of life unless these problems are corrected surgically.


These conditions must be recognized immediately by neonatologists, pediatricians, and family physicians. Pediatric surgeons cooperate with all of the specialists involved in a child's medical care to determine whether surgery is the best option for the child


What is the focus of pediatric surgery?


Pediatric surgeons utilize their expertise in providing surgical care for all problems or conditions affecting children that require surgical intervention. They participate in transplantation operations, and like most surgeons today, they use laparoscopic techniques for some operations.


They also have particular expertise in the following areas of responsibility:


Neonatal - Pediatric surgeons have specialized knowledge in the surgical repair of birth defects, some of which may be life threatening to premature and full-term infants.


Prenatal - Pediatric surgeons, in cooperation with radiologists, use ultrasound and other technologies during the fetal stage of a child's development to detect any abnormalities. They can then plan corrective surgery and educate and get to know parents before their baby is born. Prenatal diagnosis may lead to fetal surgery, which is a new forefront in the subspecialty of pediatric surgery. Application of most fetal surgical techniques is still in the experimental stage.


Trauma - Because trauma is the number one killer of children in the United States, pediatric surgeons are routinely faced with critical care situations involving traumatic injuries sustained by children that may or may not require surgical intervention. Many pediatric surgeons are involved in accident prevention programs in their communities that are aimed at curbing traumatic injuries in children.


Pediatric Oncology - Pediatric surgeons are involved in the diagnosis and surgical care of children with malignant tumors as well as those with benign growths.


Where do pediatric surgeons work?


Pediatric surgeons practice their specialty in a variety of medical institutions, including children's hospitals, university-related medical centers with major pediatric services, and large urban community hospitals.


What difference can a pediatric surgeon make?


Pediatric surgeons specialize in the surgical care of children. They are surgeons who, by training, are oriented toward working with children and understanding their special needs. In addition, they work with various specialists who are also oriented towards the next century. Pediatric surgeons are able to save whole lifetimes, and have the opportunity to follow their patients through a productive young life into adulthood.


Services


We refer the lists of surgical procedures done in the Department of Paediatric Surgery are enormous as given below




A. Head and Neck



  • Branchial cyst /fistula/sinus excision

  • Cleft lip repair

  • Cleft Palate repair

  • Cystic hygroma excision

  • Dermoid cyst excision<./li>

  • Encephalocele excision and repair

  • Endoscopic third ventriculostomy.

  • Hemangioma excision

  • Mucus retention cyst excision

  • Meningocele excision

  • Preauricular sinus excision

  • Ranula marsupialization

  • Soft tissue tumor excision

  • Thyroglossal cyst/fistula excision<>/li>

  • Thyroidectomy

  • Tongue tie release

  • VP shunt




B. Respiratory tract & Chest (Extra cardiac)



  • Bronchoscopy for FB

  • CCAM excision

  • CLE excision

  • Esophagoscopy for FB

  • Esophageal dilatation

  • Intercostal tube drainage

  • Thoracotomy and Repair of TEF

  • Thoracotomy and debridemnet

  • Lung resections (Lobectomies)

  • Pneumonectomy





C. Gastrointestinal tract



  • Appendectomy

  • Intestinal attresia

  • Abdomino-perineal pull- through

  • Choledochal cyst Excision & hepaticojejunostomy

  • Colostomy;

  • Cholecystectomy

  • Congenital diaphragmatic hernia repair

  • Diagnostic Laparoscopy

  • Duhamel’s Pull through (Hirschsprung Diesease)

  • Duodenoduodenostomy

  • Esophageal dilatation

  • Esophageal replacement

  • Esophagostomy and gastrostomy

  • EA+ TEF Primary repair

  • Fundoplication

  • Gastrostomy

  • Heller’s cardiomyotomy

  • Ileostomy

  • Intussusception, Laparoscopic reduction

  • Intussusception, Manual reduction

  • Kasai’s portoenterostomy (Biliary Atresia)

  • Ladd’s Procedure

  • Laparscopic Appendectomy

  • Laparoscopic pyloromyotomy

  • Laparascopic nephroureterctomy

  • Laparoscopic splenectomy

  • Laparotomy

  • Limited PSARP

  • Liver resection

  • Malone’s procedure (MACE)

  • Posterior sagittal anorectoplasty

  • PSARVUP>

  • Ramstedt’s Pyloromyotomy

  • Splenectomy

  • Spleno-renal shunt>

  • Thiersch wiring

  • Transanal Pull through

  • Umbilical hernia repair

  • Colostomy

  • Ileostomy




D. Genitourinary tract



  • Hyposadias repair- urethroplasty

  • Undescended testis -orchiopexy

  • Hernia repair- Herniotomy

  • Exstrophy bladder correction

  • Augumentation cystoplasty

  • Bladder diverticuli excision

  • Bladder neck repair

  • Cystoscopy

  • Cystoscopic Fulguration

  • Cystolithotomy

  • Circumcision

  • Pyeloplasty

  • EUA

  • Heminephrectomy

  • Labial synechiea release

  • Mitrofanoff procedure

  • Nephroureterectomy

  • Neuroblastoma Excision

  • Open Nephrostomy

  • Ovarian cyst excision

  • Pyelolithotomy

  • Percutaneous Nephrostomy

  • Patent Urachus excision and repair

  • Psoas abscess drainage

  • Ureteric reimplantation

  • Ureterostomy

  • Uretero-ureterostomy

  • Ureteric calculi retrieval

  • UCF closure

  • STING procedure>

  • Vesicostomy






E. Limbs



  • Ganglion excision

  • Muscle biopsy

  • Polydactyly excision

  • Syndactyly release>

  • Skin graftng




F. Spine



  • SCT excision

  • MMC excision and repair

  • Meningocele excision and repair

  • Tethered cord release (detethering)






H. Pediatric tumors



  • Renal tumors - Wilms’ tumor

  • Adrenal tumors

  • Neuroblastoma

  • Sacrococygeal teratoma
  • RMS Soft tissue tumor




G. Pediatric Trauma



  • All kind of trauma




Pediatric Outpatient Services

Our general pediatric consultants will advise you of the proper diagnosis and guide you with regards to treatment, We provide assistance and guidance with routine testing or investigations as well as refer your child to other specialties / child care specialists when necessary. Treatment and follow up o acute illnesses; as well as primary and secondary care of chronic illness.


Our Services :



  • Routine vaccinations / Immunisations

  • Growth Monitoring / Nutrition / Development

  • Health screening down on outpatient basis

  • Co-Ordinated subspecialty consultations.

Department of Neonatology

We manage high-risk deliveries and extend timely and advanced Neonatal care in close coordination with perinatologist and Obstetricians The care of prematurely born and low birth weight is a delicate task, Needing advanced technology. Life support devices and high skilled nursing our neonatal intensive care unit is managed by experienced neonatologist and trained nurses round the clock


Our Services :



  • Newborn screening 

  • Neonatal intensive critical care

  • Stand by for high-risk deliveries

  • High risk and birth defect consultations

Department of pediatric intensive critical care

The main focus on PICU is to bring the most sophisticated care for critically ill.We are equipped with world class technologies we provide an unsurpassed patient experience in a family centred environment that integrated efficient innovative and latest health care systems A team of Dedicated and experienced Doctors,Nurses and paramedics lead by experienced pediatric intensivist care 24hr a day and 7 days a week for these children.


Our Services :



  • Level Ill Critical care management of pediatric medical patients 

  • Critical care,pre-operative and post- operative care of pediatric surgical patients 

  • Intensive care support for other specialities such as general surgery,Neurology metabolic medicine,Renal, Spinal surgery,ENT,Respiratory Endocrinology.

Critical Care Anesthesia

We provide for the specialized needs of intensivists as well as the broader needs of practicing anesthesiologists. Wellness Team  includes anesthesiologists who actively practice critical care, and a significant number of anesthesiologists who practice post anesthesia care unit management or acute care management, respiratory therapy, cardiovascular, neurosurgical, and transplant anesthesia.

High Risk Pregnancy

The risk to a woman or the infant during the time of pre- natal,natal and postnatal stage is called High-Risk Pregnancy.


A pregnancy is labeled high risk when a pre-existing  condition or problem diagnosed during pregnancy puts the mother or fetus (or both) at an increased risk for complications risks we diagnose,monitor and manage include:



  • Preeclampsia

  • Advanced maternal age

  • Recurrent pregnancy loss 

  • Preterm labor 

  • Premature rupture of membranes 

  • Premature rupture of membranes 

  • Genetic disorders

  • Intrauterine growth restriction 

  • Neural tube defects 

  • Cervical incompetence 

  • Thrombophilias/blood clotting disorders

  • Isoimmunization

  • Fetal anomalies and detection of abnormalities in otherwise normal gestations

  • Fetal anomalies and detection of abnormalities in otherwise normal gestations.