Best Pediatric Surgeon In Delhi

  Thoracoscopic Surgery In Children: What Is It? Thoracosopic surgery is a type of minimally invasive surgery that is appropriate for children who require surgery for a variety of chest diseases. Today, a variety of straightforward and complicated surgical chest problems are regularly treated with thoracoscopy. Small incisions allow for minimally invasive surgery, which prevents damage to the muscles and nerves of the chest wall. On the other hand, huge incisions like those utilized in open surgery are uncomfortable and may eventually result in chest wall deformities. During a  thoracoscopic surgery , to see the structures inside the chest, the surgeon uses a thorascope (a small tube with an eyepiece that the surgeon sees through during surgery) and/or an endoscope (a small video camera). The surgeon can now do procedures that would often require big thoracotomy incisions by using an endoscope to view through them. In order to undergo surgery, patients must be put under genera...

How to differentiate between Inguinal hernia and hydrocele? Inguinal hernia is usually a reducible swelling with cry/cough impulse while a hydrocele is a tense cystic, clinically irreducible swelling without any impulse. Transillumination test is not reliable as can be present in both the cases. Why hydrocele is irreducible swelling? The pathogenesis of both hernia and hydrocele is same that is persistence of processus vaginalis. The neck of hydrocele is very narrow and so even if you try to compress the swelling, the fluid from processus vaginalis will not go into the abdominal cavity. The parents will give a characteristic history of swelling being less during morning and then gradually starts increasing in size. While the opening of hernia sac is large enough to allow the free reduction of contents. For how long one can safely wait in hydrocele? The hydrocele which are constant in size through out the day time are usually scrotal type hydrocele and are seen in newborns. They are cal...

Laparoscopic urology , also commonly known as keyhole surgery, is a minimally invasive surgery that has been recently developed in the field of urology. The patients who have undergone this surgery have the same diagnostic and therapeutic values as the open surgeries, but it also includes reduced postoperative pain, lesser duration of hospitalization, and better cosmetic benefit. Recently, even robotic technology is used in this field for the benefit of patients undergoing laparoscopic surgery.  Laparoscopic urology  is done for both benign and malignant conditions, and it has a faster recovery rate compared to open surgeries done before. Laparoscopic Pyeloplasty: Pyeloplasty is a surgical procedure that is done to treat a blockage of urine flow from the kidney, mostly in the ureteropelvic junction (UPJ). UPJ obstruction can present with symptoms of abdominal and flank pain, stones, infection, and deterioration of kidney function. The surgery is performed under general anesthe...

What is Phimosis? Phimosis is defined as the inability to retract prepuce. Nonretractile foreskins are common among young boys and is a part of normal preputial development. The prepuce of new born is nonretractile and at the age of 3 years up to 10% remain non-retractile. It has been seen that 8% of boys at the age of 6 years and 1% at the age of 16 years still had non-retractile foreskin. The foreskin gradually becomes retractile secondary to intermittent erections and keratinization of the inner epithelium. That is most of the prepuce becomes retractile by adulthood. It is important to understand that most of these phimosis are physiological and do not require any surgical intervention. What is the difference between Pathological and physiological phimosis? It is important to differentiate true pathologic phimosis from physiological phimosis. While physiologic phimosis consists of the pliant, unscarred preputial orifice, true pathological phimosis is characterized by the contracted ...

  Thoracoscopic Surgery In Children: What Is It? Thoracosopic surgery is a type of minimally invasive surgery that is appropriate for children who require surgery for a variety of chest diseases. Today, a variety of straightforward and complicated surgical chest problems are regularly treated with thoracoscopy. Small incisions allow for minimally invasive surgery, which prevents damage to the muscles and nerves of the chest wall. On the other hand, huge incisions like those utilized in open surgery are uncomfortable and may eventually result in chest wall deformities. During a  thoracoscopic surgery , to see the structures inside the chest, the surgeon uses a thorascope (a small tube with an eyepiece that the surgeon sees through during surgery) and/or an endoscope (a small video camera). The surgeon can now do procedures that would often require big thoracotomy incisions by using an endoscope to view through them. In order to undergo surgery, patients must be put under genera...

  Role Of Robotic Surgery In Children This is an era of  minimal-invasive surgery , which includes  Laparoscopic Surgery  and  Robotic Surgery . Laparoscopic surgery is now being used for more than three decades but still has its own limitations in form of a long learning curve and limited range of movement, especially in children with small body cavities requiring reconstructive surgeries. In  robotic-assisted surgery (RAS) , the surgeon sits besides the patient on a console and manipulates robotic arms with articulated instruments which are controlled by surgeon’s hand. The surgeon’s hand movements are transmitted inside’s the patients body to perform precise dissection and suture. The RAS has the advantage of providing high definition and magnified 3D vision along with the 7 Degrees of freedom of movement. This is an advantage, especially in children, because of their miniature size. This helps surgeons not only to perform surgery with great precision bu...