The soul is healed by being with children. - Fyodor Dostoyevsky

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Paediatric surgery

Paediatric surgery is a specialisation of surgery for performing procedures on foetus, infants, children, adolescents, and young adults. Surgical interventions may be needed for the treatment of diseases, trauma or birth defects. 

Paediatric surgeons handle all surgical needs of this age group and have a particular knowledge of conditions that are specific to children.

What is allergic asthma?

Paediatric asthma is a chronic disorder that affects children and causes inflammation of the lungs and airways. This causes an obstruction of airflow and can lead to a number of symptoms, including coughing, wheezing and difficulty in breathing. If asthma is not managed properly, the child could suffer from dangerous asthma attacks.

Possible Causes: 

There are certain medical conditions for which your child may need surgery.

  • Burns.
  • Circumcision for boys.
  • Dilation of the oesophagus – required if food gets stuck in the child’s throat or chest.
  • Feeding tubes or enteral nutrition – in case the child needs nutrition to be delivered directly to the stomach.
  • Hernia - a hole in the abdominal wall. This will need to be repaired surgically.
  • Hydrocele – Among boys, this is a type of swelling in the scrotum and may need to be surgically repaired.
  • Certain birth defects such as pectus carinatum, pilonidal cyst, undescended testicle or cryptorchidism.

Risk Factors: 
 
Every surgical procedure has some risk. The degree of risk varies with the type of surgery being performed. The types of risks may be categorized as under:

  • An adverse reaction to general anaesthesia can be fatal.
  • Bleeding during the surgery due to damage to other organs.
  • Scaring after intestinal surgery can lead to bowel obstruction later in life.
  • Hernias, cysts or benign lesions may recur.
  • The risks in paediatric surgery differ both physically and psychologically, from an adult surgery. The tiny structures and immature organ systems in a new-born may not cope with disease-induced stress and the physical demands of a major operation

Signs & Symptoms: 

Indication that your child might require paediatric surgery depends on certain defects and deformities which are congenital in nature. Some of these are:

  • Separation of conjoined twins.
  • Congenital malformations like cleft lip and palate, lymphangioma, oesophageal atresia, tracheooesophageal fistula, hypertrophic pyloric stenosis, intestinal atresia, necrotizing enterocolitis, meconium plugs, imperforate anus, undescended testes, intestinal malrotation.  
  • Abdominal wall defects like omphalocele, gastroschisis, hernias.
  • Chest wall deformities. 
  • Childhood tumours like neuroblastoma, Wilms’ tumour, rhabdomyosarcoma, ATRT , live tumour, teratomas. 

Diagnosis: 

Children aren’t always able to say what is bothering them and cannot always answer medical questions precisely. The doctors at Medcare’s Paediatric Centres are experts at diagnosing, understanding, and treating the medical problems of children from birth through adolescence. Their years of experience will tell them if a specific condition requires surgery. Depending on the condition and the procedure prescribed, relevant diagnostic tests will be suggested. 

Treatment Options: 

Paediatric surgeons have special training to perform surgeries on children – right from new-born to adolescent. Some of the paediatric surgery procedures that children may need are:

  • Surgery for abnormalities of the groin - undescended testes, hernias, hydroceles and varicoceles
  • Surgical repair of birth defects
  • Serious injuries that require surgery
  • Diagnosis and surgical care of tumours
  • Transplantation operations
  • Endoscopic procedures
FAQs: الأسئلة الشائعة:
  • I have been told my new-born baby may need surgery. How will I feed her after surgery?

    A: The paediatrician will advise you on the best way to feed your baby just after surgery. Some babies are able to take breastmilk or a bottle. In some conditions, the doctors may need to use a tube through the nose to deliver nutrition, or directly to the stomach, or total parenteral nutrition (TPN) given in a vein.

  • What special care do I need to take when my child returns home after surgery?

    A: When you are taking your child home after surgery, discuss these aspects with the paediatrician, and provide home-care accordingly.

    • Prescriptions for medications.
    • Any instructions for dressing the wound.
    • What your child is allowed to do or not do?
    • What are the signs and symptoms that you should watch out for?
    • When your child can resume normal play or school?
    • When can they have a shower?
    • When do you need to bring them to the hospital for a follow up visit?
  • My toddler has pain after surgery. What can I do?

    A: There are ways in which you can help your toddler cope with the pain.

    • Distract the child with stories, songs, music and conversation.
    • Reassure your child by holding their hand, cuddling and gently massaging them.
    • Create a safe and soothing ambience with soft sounds, music and their favourite toys or things.
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