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PAEDIATRICS SURGERY


1 PAEDIATRIC-UROLOGY

 
  • Urological problems in children are the commonest and may present as difficulty in micturition, urinary infections, poor urinary stream, dribbling of urine, persistent bed wetting, empty scrotum, swelling in the groin, ballooning of prepuce or non retractable foreskin of the penis, abnormally placed external urinary opening, ambiguous genitalia, etc. These children require proper evaluation of their urinary tract like contrast studies of urinary tract, bladder function studies like Urodynamics and Endoscopy. Pediatric surgeons themselves perform these tests. Some of the Pediatric Urological procedures include –
  • Diagnostic & Therapeutic Cystoscopy
  • Endourological ablation of posterior urethral valves
  • Treatment of vesico ureteric reflux (Urine refluxing back from bladder) –Endoscopic or Open Surgical.
  • Pyeloplasty for hydronephrosis (Enlarged kidney due to pelvi-ureteric jn obstruction)
  • Laparoscopic treatment of undescended testes
  • Urethroplasty for hypospadias (abnormal sited external urinary opening)
  • Circumcision for phimosis
  • Treatment of Megaureter
  • Treatment of Double urinary stream
  • Treatment of Torsion testis (Emergency), Penile Torsion, Penile web etc
  • Discharge thru umbilicus- patent urachus
  • Complex urolgical procedures like augmentation cystoplasty (surgically increasing bladder capacity)
  • Neurogenic bladder management
  • Ambiguous genitalia
 

2 PAEDIATRIC INTERVENTIONAL ENDOSCOPIC PROCEDURES,

 
  • Rigid Bronchoscopy for Foreign Body removal
  • Flexible Bronchoscopy for diagnosis, bronchoalveolar lavage, biopsy etc
  • Esophagoscopy for Foreign body removal, diagnosis, variceal banding, biopsy etc,
  • Gastroduodenoscopyscopy
  • Colonoscopy for PR bleed, Polyp etc
  • Capsule Endoscopy
  • Cystoscopy for Diagnosis, & Therapeutic – Post-urethral valve fulgration, Defulx injection for VUR, stent removal etc
 

3 PAEDIATRIC MINIMALLY INVASIVE / KEY HOLE/ SCARLESS SURGERIES

 
  • Laparoscopic surgery
  • Thoracoscopic surgery
  • Cystoscopic surgery
  • STEALTH surgery
 

4 NEONATAL SURGERIES

 
  • Tracheo-esophageal fistula repair,
  • Diaphragmatic Hernia repair,
  • Ano-rectal Malformations,
  • Intestinal atresias surgery,
  • Meconium ileus, Meconium plug management,
  • Necrotising Enterocolitis
  • Newborn surgical care.
 

5 PAEDIATRIC THORACIC SURGERIES-

 
  • Minimally invasive surgery or Thoracoscopy for problems like
  • Empyema,
  • Lobar Emphysema,
  • Congenital Cystic Adenomatoid Malformation,
  • Bronchoplmonary Sequestration ,
  • Diaphragmatic Hernia,
  • Duplication cysts etc
 

6 PAEDIATRIC GASTRO-INTESTINAL AND HEPATOBILIARY SURGERY

 
  • Endoscopic & Open Surgical Management
  • Intussusception management
  • Intestinal obstruction
  • Meckels diverticulum excision
  • Appendicectomy
  • Anorectal Malformations
  • Hirschsprungs disease
  • Cholecystectomy
  • Biliary atresias
  • Choledochal cyst excision etc
 

7 PAEDIATRIC TRAUMA MANAGEMENT

 
  • Polytrauma
  • Abdominal trauma
  • Thoracic trauma
  • Genito-urinary Trauma
  • Neuro-trauma
 

8 PAEDIATRIC ONCO-SURGERIES

 
  • Wilms tumour
  • Neuroblastoma
  • Rhabdomyosarcoma
  • Hepatoblastoma
  • Gonaldal tumours etc
 

9 PAEDIATRIC NEUROSURGERIES

 

This includes surgeries for spinal defects and hydrocephalus (excess fluid in the brain). These defects are often detected prenatally or may present immediately after birth with associated manifestations as lack of bowel and bladder control and paralysis of lower limbs. They require emergency surgery and long-term rehabilitation for the associated problems. Some are less threatening but require early diagnosis and surgery to prevent permanent sequelae.

  • Meningocoele
  • Meningomyelocoele
  • Congenital hydrocephalus
  • Tethered cord Syndrome
  • Diastamatomyelia etc
 

10 PAEDIATRIC BURNS MANAGEMENT

 
 

11 DAY CARE SURGERIES

 

Some paediatric surgeries are performed as day care admitted and discharged on same day like

 
  • Circumcision
  • Hernia
  • Hydrocoele
  • Orchidopexy
  • Meatoplasty
  • Prepucioplasty
  • Labial synaechia release
  • Cystoscopic stent removal
  • Tongue tie release etc


List Of Other Specialities

ANAESTHESIOLOGYCARDIOLOGYCRITICAL CARE
CTVSDENTALEMERGENCY MEDICINE
ENTGASTROENTEROLOGYGENERAL PHYSICIAN
GENERAL SURGERYKidney TransplantationNEPHROLOGY
NEURO SURGERYNEUROLOGYOBG
OPHTHALMOLOGYORTHOPAEDICSPAEDIATRICS
PAEDIATRICS SURGERYPATHOLOGYPHYSIOTHERAPY
RADIOLOGYUROLOGY


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