Speciality Department

Paediatric Surgery

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The Department of Paediatric Surgery treats children from day one to eighteen years of age. All the facilities to take care of children needing surgery are available under one roof. A well-experienced team of doctors is available to take round-the-clock care of the children. All types of open and endoscopic procedures are performed in the department. Excellent supportive care in the form of a tertiary care NICU is available for sick and critical neonates, plus a fully equipped paediatric surgical ICU with paediatric ventilators and 7X24 anaesthetist backup. The Department also has a full-fledged training program in M.Ch.

Features

  • Neonatal Surgery
  • Paediatric Urology
  • Laparoscopy/Thoracoscopy
  • Paediatric Chest Surgery
  • Paediatric Cancer Surgery
  • Paediatric Trauma

Services Offered

  • Prenatal evaluations and counselling
  • Postnatal diagnostic assessments
  • Multi-system evaluation for anomalies, tumours and trauma
  • Hyperacute Stroke ICU staffed with modern monitoring facilities and trained specialist staff
  • Paediatric radiology services
  • Paediatric pathology services

Procedures Performed

Neonatal Surgery

With the availability of modern amenities and support from neonatal team and a well equipped NICU, all types of newborn surgeries are performed by the department for congenital problems, e.g. oesophageal atresia, diaphragmatic hernia repair, intestinal obstruction, ano-rectal malformations etc.

Paediatric Urology

A wide spectrum of diseases affecting kidneys, bladder and the genital systems are treated including pelvi-ureteric junction obstruction, posterior urethral valves, Exstrophy-Epispadias complex, hypospadias, ambiguous genitals etc.

Laparoscopy and Thoracoscopy

Laparoscopy for a variety of abdominal problems like appendicitis, gastro-oesophageal reflux, cysts, ambiguous genitals etc. are performed. Thoracoscopy is being implemented for empyema, lung resection and biopsies.

Paediatric Chest Surgery

Surgery for congenital disorders of lungs like cysts, Lobar emphysema etc., are being performed. Oesophageal problems including replacement of oesophagus, mediastinal tumour are undertaken regularly. Bronchoscopy for diagnosis of airway diseases and removal of foreign body is also carried out.

Paediatric Tumours

Treatment is provided for Wilms' tumour, neuroblastoma, sarococcygeal teratoma, ovarian tumours etc.

Facilities

  • Dedicated paediatric surgical ward with qualified and trained staff
  • Modern monitoring equipment like pulse oximeters, infant warmers, infusion pumps, etc.
  • Well-equipped operation theaters with temperature control, miniature cystoscopes, 3mm laparoscopic instruments, paediatric bronchoscopes, patient warmers, etc.
  • Fully equipped paediatric surgical ICU with paediatric ventilators and round the clock anaesthetist back up is available
  • NICU with modern ventilators, infant warmers apnoea monitors etc.

Specialty Clinics

Pediatric Urology Clinic (on all Saturdays) – This is specifically designed for evaluation and management of paediatric urological problems.

CONTACT US

Phone: 0484 – 2858420
Email:  paediatricsurgery@aims.amrita.edu

My two-month-old baby is vomiting milk after every feed.
He is hungry all the time and numbers of wet nappies have reduced.

Your baby may have a condition called Hypertrophic Pyloric Stenosis also called pyloric tumor. The muscle around the outlet of stomach thickens and does not allow the feeds to go down. Occasionally you may see a small bulge in the upper abdomen moving to the right. Reduced number of nappies is an indication of dehydration and needs immediate attention. The condition is diagnosed by ultrasound and needs surgery. Laparoscopic surgery can be done for this condition. The results of surgery are very good.

My six-month-old son does not have a visible testis on left side. What should I do?

The condition is called Undescended testis and requires corrective surgery early, usually before the child is 6 months old. Left alone the testicle will get damaged due to its abnormal position. Depending up on where the testis is your doctor may advice open operation or laparoscopic surgery.

My three year old has a lump in the groin that appears when he cries or is running around in the day. It usually is not seen when he is asleep.

Most likely your child is suffering from a Hernia. Yes, children can also suffer from hernia but they are little different from their adult counterpart. They should be repaired as soon as diagnosed since occasionally intestines can get entrapped inside leading to a situation where emergency surgery is required. The hernia can be corrected by a simple and quick laparoscopic surgery.

Doctor, when I was pregnant with my child the ultrasound showed a swelling of one of the kidneys. She is two weeks old now, what should I do?

Your daughter may be suffering from hydronephrosis of kidney. This may be due to a blockage in the urine passage and requires immediate attention as a delay in treatment may lead to permanent damage to the affected kidney. The child may need surgery or continued observation. You should see a paediatric surgeon who would do appropriate tests including ultrasound scan and nuclear renogram to assess the severity of the condition and advice you accordingly.

My three-year-old son strains while trying to pass urine and his urine stream is also weak.

Your son's situation requires urgent attention as he may have an obstruction in his urinary passage. This condition calledPosterior Urethral Valves is correctible by endoscopic surgery. If not corrected quickly this may damage both kidneys.

Doctor, my two-year daughter has suffered from several urine infections over last one year, please advice.

It is important to investigate your daughter at the earliest as she may have a problem of urine going back up in to the kidney/s from her bladder, a condition called reflux disease. Recurrent infections can damage the kidneys and result in loss of function or high blood pressure. If less severe this can get corrected by it self but the child needs to be on continuous low dose antibiotic until this gets corrected to prevent damage to the kidney/s. Severe degree of reflux or development of scarring or high blood pressure may require surgical correction.

My six-month-old son passes urine from an abnormal opening and his penis appears bent.

Your son appears to have a condition called Hypospadias. This usually requires surgical correction between six months to two years of age and may need one or more than one stage to correct. The deformity is fully correctable. The operation is a fairly major one and the child may need to stay in the hospital for up to 10 days.

My three month old daughter has peanut sized red lump on her cheek. This was just like a spot when she was born.

This is called a Hemangioma and appears early after birth and grow rapidly in first two years of life. It usually tends to undergo regression in size after that and will slowly disappear after several years. Nothing needs to be done in majority of cases. Some problematic ones may need treatment with oral medications or by injection within the tumor.

My one month old baby's eyes appear yellow. Her urine leaves yellow stains on the cloth and her stool is whitish in color.

Your daughter's condition needs to be investigated urgently as she may be suffering from a serious condition calledBiliary Atresia. In this flow of bile from the liver is impaired resulting in damage to the liver resulting in cirrhosis of liver. The condition requires correction within first 60 days of life to prevent irreversible damage to liver. Treatment involves a major operation on liver. In advanced cases with cirrhosis only treatment is replacement of liver (Transplantation).

Doctor, my three year old has multiple peanut sized swellings in the side of his neck, Should I see a doctor?

The swellings you are describing are likely to be cervical lymph nodes. These are normally present in various places in the body and protect us from invading organisms. They become enlarged in response to repeated infections, tuberculosis or sometimes due to cancer. In majority of cases they are just the sign of body's normal response and do not require treatment but you should see your doctor to make sure they are not due to some other serious disease.

Doctor, my child is having constipation since birth and the abdomen is distended, what should I do?

The child needs to be evaluated by the surgeon. He should be evaluated with a barium enema to rule out Hirschsprung’s Disease, which is condition where there is an absence of nerve cells to the intestine, causing decreased bowel movement. If this is present, the child will need surgery. If barium enema is normal the child is to be treated with dietary modifications, toilet training and medications.

Doctor, my child is having frequent vomiting after feeding, is it something serious?

The child vomits after each feed and there will be poor weight gain. The condition seems to be gastoesophageal reflux. The child needs to be evaluated with an upper GI study. The child needs to be started on prokinetics with antacids, and would also need to be given small frequent feeds with head end up positioning of the child during feeds and sleep. 90% of children will respond to this and the vomiting will subside in 3to6 months time. If it does not subside and produce frequent respiratory tract infection and failure to gain weight, he may need surgery.