Pediatric Surgery

About the Speciality

The Department of Pediatric Surgery at JNU Hospital, Jaipur is a super-speciality division of General Surgery that deals with different congenital anomalies or birth defects.

Since its establishment, the best service has been provided to the patients by experienced pediatric surgeons. The number of surgeries performed at the department is similar in quality to the ones performed at JK Loan Hospital of SMS Medical College, Jaipur. With the aim of delivering the highest quality care to children from when they are born to the age of 16 years and even into adulthood, whenever required, the department has a dedicated team of highly skilled doctors, nurses and auxiliary staff that are committed to delivering wholesome care, research and excellence in patient care.

There are two types of birth defects – internal and external. Pediatric surgery or a pediatrician consults the external type of birth defects. However, internal defects may sometimes take time for clinical presentation. Many malformations involves different forms of syndromes and may even be life-threatening. The most severe one may result in the stillbirth of the baby.

To ensure that all of the anomalies are detected as early as possible, the department offers a well-equipped laboratory and radiological investigation facility along with an experienced obstetrician and radiologist. This will allow the patients to get the earliest attention and treatment and have the best possible result postoperatively.

Some of the equipment available at the department are incubators, nebuliser, neonatal ventilator, heating blankets and all gastrointestinal, urological and airway endoscopes (flexible and rigid). The department also offers fully equipped operating rooms that are dedicated to elective and emergency paediatric surgery cases. The highly qualified Pediatric Surgeon in Jaipur can perform a wide range of open and advanced minimally invasive procedures (Laparoscopy Key Hole surgeries).

Along with the care for the newborns, adequate support and proper counselling are provided to the parents of malformed babies so that they are able to understand the management of the disease.

Neonatal Intensive Care Unit (NICU)

The hospital offers a well-equipped NICU so that the neonates are well cared for. Some of the facilities available include emulators, warmers, central oxygen supply, ventilators, and humidifiers. The main objectives of the NICU have been given below.

  • To offer the best possible care to the surgical neonate and child.
  • To train the students and nurses in Pediatric Surgery.
  • To establish guidelines on how a particular problem should be solved in the Indian setting.
  • To carry out research in the speciality under ethical and scientific guidelines.
  • To serve as a role model for ideal pediatric surgical practice.

Highlights of the Department of Pediatric Surgery

  • State-of-the-art patient care is offered by the department, not only in General Pediatric Surgery but also in the field of Neonatal Surgery, Pediatric Urology including disorders of Sexual Differentiation, Thoracic surgery, Oncology, Gastrointestinal Surgery, Laparoscopy, Endoscopy Bronchoscopy, Esophagoscopy, Cystoscopy and Neurosurgery in children up to 14 years of age.
  • Establishment of several follow-up clinics including antenatal counselling for congenital malformations. In selected cases where meticulous surgery is required, the cases are followed up even after they reach adulthood.
  • Daily outpatient services and follow up clinics in the mornings and afternoons.
  • Growth of the pediatric surgeons by learning from kids and tenderly caring for the babies.
  • Children with congenital anomalies of trachea, lung, chest (except the heart and great vessels), GI tract/ oesophagus/ stomach/ intestines including anorectal malformations, hepatobiliary, kidney, ureter, urinary bladder, urethra, testes can be referred to the department. Treatment for solid tumours/cancers like Hepatoblastoma, Nephroblastoma (Wilms tumour), Neuroblastoma, Soft tissue tumours etc are also provided. Any child with problems not treated by the department will be referred to the appropriate department for specific management.

Surgical Facilities

The department offers the given surgical facilities to the patients.

Paediatric Surgery Emergency Service

  • It is housed in the general paediatric emergency department.
  • In association with the Departments of Obstetrics and Neonatology, Antenatal counselling is provided whenever an anomaly is detected in the ultrasound scan during pregnancy.

Micturating Cystourethrogram (MCU/ MCUG)

  • A special liquid (contrast) is instilled into the urinary passage and as it fills the urinary bladder, several x-rays are taken.
  • Helpful in the cases of Vesico ureteric reflux, Ureterocoel, Urinary bladder diseases like Neurogenic bladder, Posterior Urethral valves, blockage/stricture in the urethra.

Barium Swallow

  • The child is given a medicine (contrast) to swallow and the doctor watches the passage of the medicine into the stomach and intestine on the x-ray.
  • Problems such as Gastro esophageal reflux and malrotation of the intestine are diagnosed by this test.

Barium Enema

  • A special liquid (contrast) is placed into the rectum and the experts take the x-ray.
  • Helpful in diagnosing problems like Hirschsprung’s disease, micro colon, meconium ileus etc.

Ultrasound Test

  • Clinical investigation to detect any mass, tumours, hydro-nephrosis etc.
  • The procedure is painless and harmless.

 

What we treat

At Division of Pediatric Surgery of JNU, we invest our efforts, time, and expertise to detect and treat various types of Ailments.

These children are born with an absent food passage. This problem is correctable and requires urgent ICU care and surgery.

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These consist of problems of the lower intestinal tract. The anal opening may be misplaced or absent. Often these children require surgery in the newborn period. Some children require surgeries in stages.

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Children with this condition may not pass stools and have a swollen belly at birth. They may also present with constipation a little later. This is due to the absence of nerve cells in the lower intestine. Surgery is necessary to correct this problem.

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Here the intestines move into the chest through a hole in the muscle separating the chest and belly. This need urgent ICU care and surgery.

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Babies with this disorder have a problem with the spinal cord. This leads to weakness of the lower limbs and loss of control to pass stools and urine. These children need multidisciplinary care, including clean intermittent catheterisation, medicines and sometimes surgery to make the child better manageable, prevent infections and renal failure.

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This is sac like dilatation of the bile passage between the liver and the intestine, which can cause jaundice with recurrent fever. This is removed and the drainage is directly provided into the intestines.

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This is a keyhole operation for gall stones.

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Only male children are affected. The boys are born with a valve like partial block in the urinary passage. This causes problems in the bladder and kidney, including kidney failure. Microsurgery (cystoscopy) is done to remove the valve. These boys need to be observed for a long time as they can have persisting problems due to kidney failure.

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The passage of urine from the kidney to the urinary bladder is blocked. This leads to a swollen kidney. Surgery is required to remove the blocked area and make a new connection that allows urine to flow into the bladder.

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The urine comes out through an abnormal opening on the undersurface of the penis. This can be usually corrected in a single stage surgery. Very severe cases may require surgery in stages.

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There is a bulge in the groin that has intestine or fluid. This requires a corrective surgery.

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This minor surgery is done for religious customs or for conditions like phimosis.

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This is a condition where the testis is not present in the scrotum. It may be absent, present inside the belly or within the lower belly wall. Surgery is necessary in one or two stages to bring the testis into the scrotum.

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The child is born with urinary bladder that is open to the outside. The child is thus constantly wet due to the flow of urine. Staged surgeries are required to keep the child dry and to protect the kidneys from renal failure.

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Children sustain burn injuries accidentally at home while playing with hot water, near the stove or with firecrackers. The injuries may range from simple injuries to very deep burn injuries. A variety of reconstructive surgeries are available to help these patients.

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Children who sustain injuries in accidents require urgent care. They may need emergency surgery or ICU care. Often many parts of the body are injured and will require specialized care.

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Children also can suffer cancer of the kidneys, liver, sex organs etc. Most of them have a good result in the early stages. Intestinal obstruction: This may happen in various conditions, both due to birth defects or other diseases causing blockage in the intestine. These children mostly need emergency operation to relieve the blockage.

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Procedures

Inguinal Hernia/Hydrocele (Inguinal Herniotomy)

After induction of GA (General Anesthesia) and painting-draping, the affected side of the inguinal canal

Herniorrhaphy (Hernia Repair)

After induction of GA and painting-draping, a small curvilinear incision,

Infantile Hypertrophied Pyloric Stenotis (Ramstedt’s Pyloromyotomy)

After confirmation of the disease by USG abdomen and/or upper G.I.

Undescended Testis (Scrotal orchidopexy)

After induction of GA and painting draping, the inguinal canal is opened by a small medially placed inguinal incision within transverse crease, dividing external oblique aponeurosis.

Hypospadias

(Single stage urethroplasty or staged correction of anomaly-chordee correction followed by urethroplasty after one year)

Consult with experienced Doctors

JNU is home to some of the most eminent doctors in the world, most of whom are pioneers in their respective arenas and are renowned for developing innovative and revolutionary procedures
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