Day Care Surgery - Hernia surgery for child in delhi, Hydrocele surgery for child in delhi at pedsurgerydelhi

Day Care Surgery



We provide day care facilities for surgeries like Hernia, Undescended testis, Cystoscopy etc. The surgery is done under general/ local anesthesia and requires hospitalization for 8 – 10 hrs. Patients are admitted early in the morning and after the post operative observation, they are discharged home.

  • Hernia (Inguinal and Umbilical)
  • Hydrocele
  • Orchidopexy for Undescended Testis
  • Circumscision
  • Soft Tissues Swelling like Hemangioma and Lymphangioma

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.

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 called as non- communicating hydroceles. It is this type of non -communicating hydrocele which tends to resolve spontaneously.

The hydrocele in which parents gives the history of increase and decrease in the size of swelling are called as communicating hydrocele and will require surgery.

The condition can be safely observed till 18mths to 2 years of age as it is harmless. But one should be sure that they are not associated with hernia.

When one should advice for hernia surgery?

Inguinal hernias never go away without surgery. This is a condition in which surgery is advised to be done as early as possible as the risk of hernia getting incarcerated is as high as 30 to 40%. If not tackled in time it can lead to major complications of gut and testis necrosis. Also emergency anesthesia may further increase the risk for the child.

How safe is inguinal hernia surgery in newborns and infants?

Like any other surgery anesthesia have its own risks. As the risk of hernia incarceration is very high especially in newborns, waiting for hernia repair is not a good option once a diagnosis of hernia is made.

The commonest problem of hernia surgery in newborns is postoperative apnea. To minimise this it is usual practice to perform surgery once the child is more than 49 wks of gestational age or weighing more than 2.2 kg. After surgery these patients needs to be monitored in hospital for 24 hrs for risk of postoperative apnea.

What is the surgical procedure done for hernia and hydrocoel?

The surgery in both the conditions is same that is the ligation of patent processus vaginalis called as “HERNIOTOMY”.

Are there any indications for performing bilateral repair in case of a unilateral inguinal hernia?

The risk of hernia manifesting on the contralateral side after unilateral repair is just 10 %. Although the patent processus vaginalis may be present in higher number of cases but it may not manifest as hernia later on. So as per present recommendations bilateral hernia repair is not routinely done in cases of a unilateral inguinal hernia.

Tag =  Hernia surgery for child in delhi, hydrocele surgery for child in delhi, best pediatric surgeon in delhi

For more information = http://www.pedsurgerydelhi.com/

Comments

Post a Comment

Popular posts from this blog

Undescended Testis In Children, Treatment of an Undescended Testicle In Delhi by best pediatric surgeon in Delhi - Dr. Prashant Jain

Undescended Testis In Children What is an Undescended Testis? An  undescended testis  is a defect that happens before birth when a testicle has still not moved to its correct position, which is the scrotum or the bag of skin hanging below the penis. This condition usually affects one testicle, but, in a few cases, the condition may effect both testicles, thereby keeping them undescended. An undescended testis is commonly seen in premature male child. In most cases,  Undescended testis  gets rectified on its own, as the  undescended testis  moves to its appropriate position within the first few months of life. However, if this condition is not corrected on its own till 6 months of age, then a surgery is required to move the testicle in to its correct position. What are the signs or symptoms of an Undescended Testicle If you cannot see or feel a testicle in the baby’s scrotum, then this may be due to an undescended testicle. When the foetus is still developing, testicles are formed inside th
Read more

Conjoined Twins Surgery In India - Dr. Prashant Jain

Conjoined Twins Surgery In India On 21st April, 2013, a super speciality team led by Dr Prashant Jain at BLK Super Specialty Hospital made a decision to save two precariously hanging newborn lives. By the night of 12th August, 2013 they had made history. The story behind the rarest of rare separation of conjoined twins at BLK Super Specialty Hospital. Twin girls Hussaina and Hassana were born conjoined in Nigeria on 28 August, 2012. Celebrations in the family soon turned to shock and sorrow, however. The twins were joined back to back (pygopagus in medical terms). To an extent that they had common urinary and vaginal opening and a common anus. A clan travels across continents in search of hope Perplexed by this rare condition, the doctors in Nigeria told the parents that surgical separation of the twins was possible but they would have to lose one of the two girls. Then fate intervened and they were referred to Dr Prashant Jain, Head Pediatric Surgery Department BLK Super Specialty Hos
Read more

Antenatal Hydronephrosis, Hydronephrosis in Child Treatment, Delhi - Dr. Prashant Jain

Antenatal Hydronephrosis Introduction: With easy availability of ultrasound screening and improvement in expertise, hydronephrosis is now a very frequently diagnosed problem reported in 1 to 5% of all pregnancies. This has enabled us to have a better understanding of the natural course of the problem and early intervention before it results in permanent renal damage. The distinction between urinary tract obstruction and dilatation remains a challenging problem for clinicians. Still there are no definite guidelines and protocols for evaluation of antenatal hydronephrosis (ANH). Defining antenatal Hydronephrosis and grading of hydronephrosis: Currently, the measurement of Antero-posterior diameter (APD) of the renal pelvis as visualized in transverse plane on ultrasound scan (USG) is most commonly used objective parameter for assessing ANH in utero and during post natal follow up. The measurement allows to classify the severity of hydronephrosis into mild, moderate and severe type. There
Read more