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Vesicoureteric Reflux

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  Vesicoureteral Reflux Causes, Symptoms And Treatments Kidneys are important organ for urine formation. Normally, urine flows into the bladder through ureters. However, in some children, urine from the bladder flows back through the ureters. This condition is known as  Vesicouretral reflux (VUR)  and is common in infants and children. It can be unilateral or bilateral. This could cause infections and damage your kidneys. VUR affects about 10% of children. Although most can grow out of this condition, people who have severe cases may need surgery to protect their kidneys. This condition should not be ignored as it damages the function of kidneys and can lead to high blood pressure later in life. The risk of kidney damage is greatest during the first 6 years of life. Causes of VUR: A flap valve is located where the ureter joins with the bladder. Usually, the valve allows only a one-way flow of urine from the ureters to the bladder. Sometımes, a defective flap valve allows ...

Thoracoscopic Surgery In Children

  Thoracoscopic Surgery For Children Thoracosopic surgery , is a Minimally Invasive Surgery which uses multiple small incisions, and is suitable for children who need to undergo surgery for various  chest conditions.  Thoracoscopy  is now very frequently used for various simple and complex surgical chest conditions. Since a Minimally Invasive Surgery can be done with small incisions, this avoids injury to chest wall muscles and nerves. On the contrary, large incisions as used in open surgery are painful and can cause chest wall deformity in long run. Minimally Invasive Surgery have shown great results, with lesser pain, reduced hospitalization, lesser complications and a better cosmetic result  as compared to traditional thoracotomy. However, Thoracotomy will still be needed in some select cases.  Dr. Prashant Jain , is one of the  best paediatric surgeon in Delhi  (India), who has achieved excellent results in the removal of chest tumors through ...

What is Choledochal Cyst and Symptoms of Choledochal Cyst?

  Choledochal cyst  is a birth defect, characterized by the swelling or cystic transformation of the bile duct. The liver produces bile to digest food. Bile duct helps in transporting bile from the liver to the gall bladder and small intestines. In case of a  choledochal cyst , due to the obstruction of drainage, passage of the bile is hampered, thereby causing pain, indigestion, jaundice. Child can repeated episodes of infection in bile duct characterised by fever, pain and jaundice. Early treatment of this condition, may reduce the risk of liver cirrhosis and bile duct cancer in adulthood. Choledochal cyst  is a rare condition, as it’s presence is seen in only 1 out of 1,00,000-1,50,000 children in the western countries. Girls are 4 times more prone to it than boys. Symptoms Even though  Choledochal cyst  is a birth defect, it’s symptoms may appear in infancy or in older children. Condition may be diagnosed on antenatal scan. Pain sensation in upper right...

Reconstructive Urology In India

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  Reconstructive urology   is used to restore urinary, sexual, and reproductive functions in patients who have had congenital conditions or   urethral strictures . It is a highly specialized field of male urology. It also brings back the functions to the genitourinary tract. The  reconstructive urology procedure s include –  pyeloplasty, ureteric re-implant, hypospadias repair, bladder exstrophy repair, bladder augmentation, bladder neck repair, circumcision, and orchiopexy . Pyeloplasty It is the surgical reconstruction of the  renal pelvis . The renal pelvis is a part of the kidney.  Pyeloplasty  is done to drain and decompress the kidney. Almost all cases are to relieve a ureteropelvic junction obstruction or shortly known as UPJ obstruction. Just the tissues where the ureter is obstructed is cut, and the original ureter is repositioned and attached back to the healthy renal pelvic tissue above. Ureteric re-implant Ureteric re-implant  is ...

Hydrostatic Reduction Of Ileo- Colic Intussusception

  Intussusception is one of the most common causes of acute abdomen in infancy. This condition is usually idiopathic in children between 6 months and 2 years of age with an incidence of 1-2 cases per thousand children. The vast majority of childhood cases of intussusception are ileocolic; that is, the ileum becomes telescoped into the colon. The diagnosis should be suspected in a child presenting with intermittent colicky abdominal pain with drawing up of legs, poor feeding, vomiting, and per rectal passage of blood mixed with mucus (red currant jelly). The importance of early diagnosis lies in the fact that the condition can be managed by nonoperative treatment (Ultrasound Guided Hydrostatic Reduction) with a success rate of more than 90%. Ultrasound is a highly sensitive modality for the diagnosis of intussusception with an almost 100% accuracy with a classical sign of target or doughnut. Ultrasound-guided hydrostatic reduction (HSR) is currently the standard management of intuss...