Paediatric General Surgery at Nyle Hospital

The area of adult surgery generally focuses on specific region or organ of the human body, while the subspecialty, paediatric surgery handles children only of specified age group. It is the only surgical domain that is defined by sick person’s age instead of particular conditions. Paediatric surgeons are specialists who provide surgical therapy and care for children’s diseases, malformations and trauma since their birth until the teenage. They are specially educated to operate any part of a child right from head to toe. Certifying as a paediatric surgeon involves the travel of longest pathways in the medical training session.

Paediatric surgeons usually cope with huge physiological differences among various age groups and possess unique level of professional knowledge and skills for managing children as well as their families.

The workload of paediatric surgeons is really massive dealing with any conditions of children belonging to any age group. The chief segments of paediatric surgery include:

Paediatric Oncology – Cancers developed during childhood are not the same as those developed during adulthood. Leukaemia serves to be the common conditions affecting children.

Neonatal Surgery – If the physician plans for frequent antenatal ultrasound scans, it means that the foetal is growing as a young patient. However, for certain conditions including gastroschisis (a hole in the baby’s abdominal wall characterised as birth defect) and inherited diaphragmatic hernia, the paediatric surgeons render antenatal counselling to little patient’s parents in collaboration with specialists and obstetricians involved in foetus medicine. Together they organise the care for mother and infant from childbirth to consequent surgery.

Paediatric Urology – Some urological conditions, including hypospadias are found to be frequently occurring at birth. Surgical procedure is essential for such conditions.

Irrespective of the situation that calls for emergency or planned surgery, only paediatric surgeons are pertinent to provide the needful care for children. Paediatric general surgeons perform nearly half the percentage of child’s surgery. The wide range of children’s common conditions treated by them includes:

Anal fissure

Abdominal trauma

Appendicitis

Abdominal tumours - Neuroblastoma, Wilms

Torticollis

Duodenal atresia

Rectal prolapse

Perianal abscess

Undescended testes

Hepatobiliary Cysts

Inflammatory bowel disorder

Biliary atresia

Cellulitis

Obstruction of the colon

Imperforate anus

Brachial cleft abnormality

Cloacae malformations

Diaphragmatic hernias

Circumcision

Chest wall deformities

Cystic hygromas

Gastroesophageal reflux

Gallbladder disease

Esophageal stenosis

Duodenal stenosis

Hirschsprung's Disease

Pectus excavatum (funnel or sunken chest)

Mediastinum and lung malformations

Hernia (inguinal/umbilical)

Head and Neck tumours

Hepatobiliary tumours

Main Surgeries

Planned surgical procedures:

Correcting undescended testis

Herniotomy for correcting hydrocoele (fluid collection around the testes) and congenital inguinal hernia (at the groin area)

Repair of umbilical hernia (at the belly-button)

Circumcision

General emergency surgical procedures:

Removal of appendix

Pyloromyotomy for correcting pyloric stenosis

Correcting testis torsion