This is an era of minimal-invasive surgery, which includes Laparoscopic Surgery and Robotic Surgery. Laparoscopic surgery is now being used for more than three decades but still has its own limitations in form of a long learning curve and limited range of movement, especially in children with small body cavities requiring reconstructive surgeries. In robotic-assisted surgery (RAS), the surgeon sits besides the patient on a console and manipulates robotic arms with articulated instruments which are controlled by surgeon’s hand. The surgeon’s hand movements are transmitted inside’s the patients ..read more

Thoracosopic surgery is a type of minimally invasive surgery that is appropriate for children who require surgery for a variety of chest diseases. Today, a variety of straightforward and complicated surgical chest problems are regularly treated with thoracoscopy. Small incisions allow for minimally invasive surgery, which prevents damage to the muscles and nerves of the chest wall. On the other hand, huge incisions like those utilized in open surgery are uncomfortable and may eventually result in chest wall deformities. During a thoracoscopic surgery, to see the structures inside the chest, th ..read more

9 year old female child, presented with c/o right sided chest pain for 2 weeks. The child was evaluated and skiagram chest was suggestive of right mediastinal opacity. On further evaluation, Magnetic resonance imaging  was suggestive of mass in the right posterior mediastinum, of size approximately 5X5 cm, extending from D2 to D6 vertebra involving spinal nerves and spinal canal at the level of D4 and D5 vertebrae. Computer tomographic guided biopsy revealed a ganglioneuroma, which is a benign tumor of the nerve cells.  The child was planned for robotic thoracic surgery to excise the ..read more

Thoracosopic surgery is a type of minimally invasive surgery that is appropriate for children who require surgery for a variety of chest diseases. Today, a variety of straight forward and complicated surgical chest problems are regularly treated with thoracoscopy. Small incisions allow for minimally invasive surgery, which prevents damage to the muscles and nerves of the chest wall. On the other hand, huge incisions like those utilized in open surgery are uncomfortable and may eventually result in chest wall deformities. During a thoracoscopic surgery, to see the structures inside the chest, t ..read more

Hypospadias is a common congenital problem which can be corrected by surgery. Post operative care of hypospadias surgery is equally important as it needs care of pain, infection, dressing and urinary tube (catheter). Post operative care after hypospadias repair Includes : The child will require analgesics, usually paracetamol for surgical site pain. He may have spasmodic pains because of the urinary catheter which can sometimes irritate the bladder wall. To prevent this child will be given anticholinergic drugs (Tropan). Besides the child will be given antibiotics to prevent the risk of infect ..read more

The male sexual glands are the testes, and they produce sperm and hormones for sexual reproduction. The testes typically reside in the scrotum, occasionally one or both testes may not descend into the scrotum after developing, which means that when the testis is outside its normal location in the scrotal sac, it is called an undescended testis. This condition normally occurs before birth. What causes a child to have undescended testes? Early-born infants are more likely to have undescended testes (preterm or premature babies). This is due to the fact that the testes do not descend into the scr ..read more

Dr Prashant Jain Dr Ashish Prasad 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 impor ..read more

A voiding cystourethrogram (VCUG), also known as icturating cystourethrogram (MCU)is a radiological investigation for examination of urinary tract system. The study is used to visualize the urethra, urinary bladder and about the possibility of vesico ureteric reflux (VUR). When to do voiding cystourethrogram ? Recurrent urinary tract infections. Urinary tract infection in an infant. Suspected bladder outlet obstruction. Hydrouretronephrosis on ultrasound. Bilateral Hydronephrosis. The study is conducted under antibiotic cover and in fluoroscopic machine. Technique With all ascepic precautions ..read more

Dr. Prashant Jain Director Department of Pediatric Surgery and Pediatric Urology BLK Super Specialty Hospital, New Delhi About 8 million babies worldwide are born each year with serious birth defects (structural, functional and metabolic). About 3 lakhs newborn (1 in 10) and about 5 lakhs children under 5 die every year with maximum deaths reported in southeast Asia. In India birth defects prevalence varies from 61 to 69.9/1000 live births.The high incidence of birth defects in India is mainly attributed to high fertility, unplanned pregnancies, poor antenatal care, poor maternal nutrition, co ..read more

Adrenal gland is an important gland responsible for secreting various hormones required for normal body functioning. In pediatric age group the tumors of adrenal gland are rare which arise from adrenal cortex and adrenal medulla.These tumors account for less than 0.2% of all pediatric neoplasms and 1.3% of all carcinomas. The most common tumor of the adrenal gland in pediatric age group is neuroblastoma which arise from adrenal medulla , while  adrenal carcinoma and adenomas,  tumors of the adrenal cortex, are rare. Pheochromocytoma is a rare and very peculiar tumor of adre ..read more