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Department of Pediatric Surgery


Paediatric Surgery deals with the surgical care of newborn babies, infants and children to the age of 16 years. This Hospital is highly specialized, not only because one has to handle very delicate and miniature tissues, but also because it requires a great deal of patience, compassion and understanding to handle the little babies and their very anxious parents.

Children are not miniature adults and hence, require experienced and highly qualified personnel that can cater to their needs. Babies suffer from diseases and surgical conditions which are different from adults. Also, their physiology is different and they handle surgical stress differently. The principles of surgical management in children are entirely different from adults.

The Department of Paediatric Surgery at Mallya Hospital, Bengaluru, is at the forefront among centers that provide comprehensive surgical care to children, including tertiary care. The faculty comprises of very experienced surgeons in the speciality. A team of doctors including Senior Paediatric Surgeon, senior resident and the trainee resident doctors provide comprehensive surgical care to the children round the clock.
Departments


The Department of Paediatric Surgery at Mallya Hospital has been providing comprehensive, state-of-the-art surgical care in children, ranging from operations in newborns to various sub-specialties of Paediatric surgery.

The department undertakes all kinds of operations in children. These include:

• Common Operations - Conditions like inguinal hernia, hydrocele, and undescended testis are very common in children. These conditions require surgical intervention. The results are excellent if done by an experienced Paediatric surgeon. The operations are done as day-care cases.

• Neonatal Surgery - Some of the congenital defects in newborn, if not corrected immediately after birth, will result in death viz. congenital diaphragmatic hernia, esophageal atresia with tracheo-esophageal fistula, neonatal intestinal obstruction and anorectal malformations (imperforate anus). Some anomalies require very aggressive preoperative care so that the baby is in an optimal condition for operation viz. abdominal wall defects. Other birth defects include spina bifida and hydrocephalus. All kinds of emergency and elective surgeries in the newborn babies (even those who are premature and very high-risk) are being performed in our department routinely with excellent results.

Antenatal diagnosis by maternal ultrasonography has given another dimension for better newborn care by early postnatal referral for surgical intervention in relevant cases.

• Paediatric Thoracic Surgery - Anomalies of Lung viz. congenital lobar emphysema, congenital cystic adenomatoid malformation of the lungs, cyst in the lungs, bronchogenic cyst and mediastinal masses, are being routinely operated. Video Assisted Thoracopscopic surgery (VATS) is also routinely done.

We also perform bronchoscopies in children to remove inhaled foreign bodies from the air passages.

Thoracotomy and decortication is being done successfully in the department for chronic empyema.

• Paediatric Urology - Abnormalities of the kidneys and bladder account for 40% of surgical cases in children. Operations are done for both congenital and acquired clinical conditions of the kidneys, ureters, bladder and urethra in children including in newborn as well as older children.

These operations are done for conditions like hydronephrosis, vesicoureteral reflux and posterior urethral valves. Some of these operations are done endoscopically using a cystoscope. We are routinely performing cystoscopy and cystoscopic procedures in newborn babies too, besides doing these in older children.

• Paediatric Gastrointestinal Surgery - Complicated operations on the gastrointestinal system, liver and bile ducts are routinely undertaken. These are done for conditions like imperforate anus, hirschsprung's disease, biliary atresia, choledochal cyst among others.

• Paediatric Cancers - The department undertakes surgical treatment of childhood solid tumors like Wilms' tumor (tumor of the kidney), neuroblastoma, rhabdomyosarcoma, teratoma, lymphoma, etc.

• Paediatric Plastic Surgery - Plastic reconstruction in childhood deformities like cleft lip, cleft palate and hypospadias and epispadias repair are routinely undertaken with excellent results.

• Paediatric Laparoscopy -Laparoscopy for diagnosis and laparoscopic surgical procedures are being performed routinely in our department.