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Paediatric Care (Child care)

Children healthcare is a sensitive issue. The specialty of Paediatricsencompasses generic and tertiary care for all illnesses related to infants, toddlers and older children. There is an emphasis on the communication aspect, so as to correctly understand the problems of the child and provide the appropriate treatment. The issues range from immunization, thalassemia, and asthma to developmental issues like audiometery, speech counseling, etc.

Surgical solutions to co-genital disorders, hypospadias, ano-rectal anomalies and other anomalies of the gastrointestinal system can be categorized as the regular treatments, while critical care like Endoscopic surgeries for the chest and abdomen along with heart, kidneys and bladder treatments needing special expertise and technology are also provided appropriately. Details of treatment services under both categories are as follows -

  • Neonatal Surgery
  • Paediatric Urology
  • Paediatric Oncology

Neonatal Surgery

The pediatric surgery division includes a host of subspecialists to help in the endeavor of critical childcare. This requires a work from a team of specialiststhat include the perinatologists, obstetricians, neonatologists, pediatric cardiologists, pediatric heart surgeons, geneticists, pediatric neurosurgeons, pediatric anesthesiologists, etc. It is through this team-focus that even the tiniest babies (weighing not more than a pound) can survive.

Surgical care begins before Birth when pediatric surgeons meet with expecting families to counsel them regarding anomalies that may have been discovered during prenatal screening. In some instances there are steps that can be taken to treat the babies while they are still in the womb. In other situations, the prenatal visits are used to plan and prepare for the operation that will be needed after birth.

Mentioned below are few of them:

  • Ano-rectal malformations
  • Congenital lung lesions
  • Diaphragmatic hernia
  • Gastroschesis
  • Intestinal atresias
  • Tracheo-esophageal fistula
  • Vascular access

Paediatric Urology

Children with reconstructive problems related to the genitourinary tract (kidneys, ureters, bladder, urethra, vagina, genitalia) are treated under this specialty. Such patients might have any one of a number of conditions, including congenital malformations of the genitalia and other acquired diseases of the genitourinary tract. Complications arising from circumcision are also commonly treated along with the availability of comprehensive services for the management of all secondary and tertiary paediatric urological conditions including -

Laparoscopy, Hypospadias surgery, Urinary reconstruction etc.

The following is an exhaustive list of common Urological problems in children:

  • Adrenal Hyperplasia
  • Anterior Urethral Valves
  • Bedwetting (nocturnal enuresis)
  • Bladder Diverticulum
  • Bladder Exstrophy
  • Botched Circumcision
  • Chordee (penile curvature)
  • Crystalluria (crystals in the urine)
  • Daywetting (bladder instability or bladder spasms)
  • Encopresis
  • Epispadias
  • Hematuria (blood in the urine)
  • Hydrocele
  • Hydronephrosis
  • Hypospadias
  • Imperforate Hymen
  • Inguinal Hernia
  • Intersex Disorders
  • Kidney Stones
  • Labial Adhesions
  • Posterior Urethral Valves
  • Proteinuria (protein in the urine)
  • Umbilical Hernia
  • Undescended Testicles
  • Urachal Malformations (patent urachus, urachal cyst)
  • Ureterocele
  • Ureteropelvic&Ureterovesical Junction Obstruction
  • Urinary Tract Infection
  • Vaginal Duplication
  • Varicocele
  • Vesicoureteral Reflux

The following are some of the treatments offered under paediatric urology:

  • Laparoscopic nephrectomy, heminephrectomy and pyeloplasty
  • Open and laparoscopic orchidopexy
  • Urinary reconstruction including bladder augmentation, bladder neck reconstruction, bladder neck sling etc.
  • Laparoscopic palomo procedure for varicocoele

Conservative Dentistry and Endodontics

This specialty essentially deals with conservation of teeth and preserving the natural dentition. The treatment modalities rendered include restorative procedures for carious teeth and other defects like fracture, erosion, abrasion and so on. Various esthetic treatments like diastema closure, veneers, smile design, tooth whitening, etc. are also rendered under Conservative Dentistry.

Endodontics deals with teeth having pulpal diseases. The treatment is used to save all the badly mutilated teeth, irrespective of the age of the patient bringing them back to normal function and esthetics. Some cases require advanced treatment procedures like complicated RCTs, Hemisection, Radisection, Apicectomy Splinting, Conservative bridges, Indirect esthetic restorations like porcelain/Composite inlays and onlays and veneers.

Endosonics, Laser, Composite furnace, Physiodispencer, various obturating systems like Thermafil, Guttaflow& advanced digital radiography like RVG are some of the cutting-edge equipments used for the treatment.

Paediatric Oncology

Paediatric oncology deals with the diagnosis, treatment and care of children with tumours and leukaemia. The cancers in children are generally unlike those found in adults. Different types of cancers lead to different survival rates. Within children and young adults survival rates do tend to be higher than for adults. The factors that trigger cancer in children are also often different to those in adults such as smoking, alcohol and environmental factors.

The treatment services under oncology cover in-patient and ambulatory care of oncology patients, which includes management of leukaemia and solid tumours including palliative care, blood transfusions, symptom control, treatment for complications such as infections and long term follow-up of patients.

Specialized treatment include diagnosis and treatment of all malignancies in children, Paramalignant conditions such as Langerhans' cell histiocytosis and most of the non-malignant haematological conditions including:

  • Haemoglobinopathies - sickle cell disease (SCD) and thalassaemia
  • Aplastic anaemia
  • Myelodysplasia and myeloproliferative disorders
  • Neonatal haematological problems
  • Clotting abnormalities (haemostasis and thrombosis)
  • Acute haemolysis
  • Persistent neutropenia
  • Thrombocytopenia
  • Autoimmune haemolyticanaemias
  • Congenital anaemia

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