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Duplex Renal System - Pedsurgerydelhi

Duplex Renal System - Pedsurgerydelhi  Introduction The duplex renal system involves the presence of two ureters in a single kidney. The renal duplex system may be complete or incomplete. Many patients do not have symptoms. Most of these cases are diagnosed on antenatal scan or when they present with urinary tract infections. It is a congenital condition and may require various procedures to salvage the renal functions. Duplex Renal System The duplex renal system is also known as a duplicated collecting system or renal duplex. Urine formation takes place in the kidney. From kidneys, the urine flows to the urinary bladder through small tube-like structures. These tube-like structures are known as ureters. In a normal case, one ureter from each kidney drains the urine to the bladder. However, in a duplex system kidney gets duplicated forming two systems with two ureters each. One ureter drains the urine from the upper part of the kidney while another drains urine from the lower part....

Esophageal Replacement Surgery In Children - Pedsurgerydelhi

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  Introduction Various conditions require esophageal replacement surgery in children. Some conditions are congenital i.e., present from the time of birth, and some others are due to trauma or injury. Various techniques are used for esophageal replacement surgery. When Esophageal Replacement Surgery Is Required? A healthy esophagus is required to perform various functions. It helps in the transport of food and other substances from the mouth to the stomach. It also prevents the reflux of acid and other substances back into the upper part by forming a barrier. This barrier is the lower esophageal sphincter. However, various conditions may require esophageal replacement surgery. These conditions are: Long gap esophageal atresia:  The esophagus is divided into an upper esophagus and lower esophagus. When the gap between the upper and lower esophagus is large, the condition is known as long gap esophageal atresia. This condition requires immediate medical intervention. Caustic stri...

Pediatric urodynamics at BLK Centre for Child Health

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  What is Pediatric Urodynamic study? Pediatric urodynamic  study (UDS) is a group of tests done for the assessment of how well your child’s bladder is functioning. These tests measure-: The functions of the bladder, urethra and pelvic floor muscles The bladder pressures while it stores and empties urine The urinary flow and the urethral sphincter muscle activity at the same time. What is the function of the bladder? The urinary bladder is a reservoir that collects the urine produced by the kidneys and then empties it at the appropriate time. This is a well-coordinated system which governs relaxation and contraction of the bladder and urethral muscles. This system functions to maintain a low pressure inside the bladder and at the same time prevents involuntary leakage of the urine. The urodynamic study tracks the filling of the bladder and monitors the pressures inside the bladder and simultaneously it also assesses the function of the urinary sphincter muscles with the help o...