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Pediatric Surgery


Pediatric Surgeon

CENTRE FOR PEDIATRIC SURGERY (CHILDREN & NEW-BORN SURGERY)
CENTRE FOR PEDIATRIC UROLOGY (GENITO-URINARY SURGERY)
CENTRE FOR GASTRO-INTESTINAL & HEPATO-BILIARY SURGERY

OVERVIEW
“Our mission is to provide and promote excellence in the surgical care for children”.

“Child is not a small Adult” and, therefore, require expertise that can cater to their needs. Babies suffer from different problems, their physiology is different, they handle stress differently, and the principles of treatment are entirely different from adults.

Pediatric & Neonatal surgery is the field of medicine that deals with the surgical care of newborn babies, infants, and children to the age of 18 years. This branch is highly specialized not only because one has to handle very delicate and miniature tissues, but also it requires a great deal of patience, compassion and understanding to handle the little babies and their very anxious parents.

What is a Pediatric Surgeon? Pediatric surgeons concentrate on the special surgical problems of children. We care for infants, children, and adolescents, and also help to counsel parents expecting a baby who may have been diagnosed before birth with a surgical problem. Pediatric surgeons are experienced in caring for the wide variety of problems children may have, ranging from hernias or appendicitis to cancer or serious congenital anomalies.

OUR SERVICES:
The Division of Pediatric Surgery performs state-of-the-art minimally invasive and routine operations for the full range of general, abdominal, thoracic, head and neck, pelvic, and soft tissue conditions including specialist expertise in:
  • General Pediatric Surgery (Common Operations – Hernia, Hydrocele, UDT)
  • Neonatal Surgery (Surgery on the Newborn- usually for congenital anomalies)
  • Pediatric Urology (Kidney, Ureter, Bladder Anomalies & Hypospadias Surgery)
  • Pediatric Gastrointestinal Surgery (GIT, Liver and Bile Ducts)
  • Pediatric Colorectal Surgery (Hirshcprung’s & Imperforate Anus)
  • Pediatric Thoracic Surgery (Lung operatins & Foregin bodies in Airways)
  • Plastic Surgery (Cleft lip and palate surgery)
  • Oncology (Childhood Cancers – Wilm’s, Neuroblastoma, Hepatoblastoma)
  • Corrective surgery for congenital deformities
  • Antenatal Counselling

Affiliated Surgical Services:
  • Pediatric Orthopaedic Surgery
  • Plastic, Reconstructive & Aesthetic Surgery
  • Otolaryngology (ENT) – Head & Neck Surgery
  • Ophtalmology (Eye Surgery)
  • Neurosurgery

The division undertakes all kinds of operations in children. These include:
General Pediatric Surgery – (Common Operations) - Conditions like hernia, hydrocele, and undescended testis are very common in children. These conditions are best managed by an operation that is best done by a Pediatric surgeon. The operations are done as day cases and the child is sent home the same day.

Neonatal Surgery - These are operations done on newborn babies almost immediately after birth, for birth defects that if not corrected immediately will result in death. These operations are done for abnormalities like congenital diaphragmatic hernia, esophageal atresia with tracheo-esophageal fistula, anorectal malformations (imperforate anus), abdominal wall defects, spina bifida and hydrocephalus among others.

Pediatric Urology - Abnormalities of the kidneys and bladder account for 40% of surgical cases in children. We perform operations on the kidneys, ureters, bladder and urethra in children including in newborn babies. These operations are done for conditions like hydronephrosis, vesicoureteral reflux and posterior urethral valves. Some of these operations are done endoscopically using a cystoscope.

Pediatric Gastrointestinal Surgery - Complicated operations on the gastrointestinal system, liver and bile ducts are routinely undertaken. These are done for conditions like imperforate anus, Hirschsprung's dosease, biliary atresia, choledochal cyst among others Pediatric Thoracic Surgery - Operations on the lungs are commonly done, again mainly for abnormalities present since birth. We also perform bronchoscopies in children to remove inhaled foreign bodies from the air passages.

Pediatric Thoracic Surgery - Operations on the lungs are commonly done, again mainly for abnormalities present since birth. We also perform bronchoscopies in children to remove inhaled foreign bodies from the air passages.

Pediatric Plastic Surgery - Plastic reconstruction in childhood deformities like cleft lip, cleft palate and hypospadias repair are routinely undertaken with excellent results.

Oncology - (Pediatric Cancers) - Surgical treatment of childhood cancers like Wilms' tumor (tumor of the kidney), neuroblastoma and rhabdomyosarcoma.

Minimally invasive surgery (Key-Hole Surgery) – There has been a changing trend in the faculty of Pediatric surgery with Minimally Invasive Surgery playing a bigger role in the management of surgery of children. Instrumentation is improving and the skills need to be acquired and augmented to enable safe surgery through a laparoscope in smaller with smaller babies, even neonates.

Antenatal Counseling – Help to counsel parents expecting a baby who may have been diagnosed before birth with a surgical problem.

OUR SPECIALISTS:
The Division of Paediatric Surgery sees the following diseases and conditions:
• Congenital Cystic Adenomatoid - Malformation (CCAM)
• Congenital Lobar Emphysema (CLE)
• Lung sequestration
• Oesophageal Atresia and Tracheo-oesophageal Fistula
• Congenital Diaphragmatic Hernia
• Eventration of Diaphragm
• Duplication of the gut
• Pyloric Stenosis
• Duodenal Atresia / Stenosis
• Intestinal Atresias
• Duplications
• Malrotation
• Meconium Ileus
• Necrotizing Enterocolitis
• Biliary Atresia
• Choledochal cyst
• Nesidioblastosis
• Anorectal Malformations
• Hirschsprung’s disease
• Exomphalos
• Gastroschisis
• Posterior Urethral Valves
• Prune Belly Syndrome
• Cloacal Exstrophy
• Epispadias
• Ambiguous Genitalia and Intersex conditions
• Sacrococcygeal Teratoma
• Pelvi-ureteric Junction Obstruction
• Duplex Kidneys
• Vesico-ureteric Reflux
• Vesico-ureteric Junction Obstruction
• Posterior urethral valves
• Neurogenic Bladder


Consultants:
Dr. Pankaj Shroff
M.S., M.Ch.
By Appointment

Dr. Patankar
M.S., M.Ch.
Daily: 7.00pm, By Appointment


Dr. Gursev Sandlas

M.S., M.Ch.
Tue-Thu-Sat: 4.00pm

Dr. Pradeep Shenoy
M.B.B.S., M.S., M.Ch.
Daily: 2.00pm, By Appointment