A 13 year old girl has been successfully treated by total Laparoscopic excision of type 1 –C Choledochal cyst and hepatico-duodenostomy . She has been having recurrent abdominal pain, post feeding discomfort, nausea, occasional fever and vomiting. After thorough evaluation a large type 1c Choledochal cyst associated with hepatosplenomegaly was diagnosed. After preparation, Laparoscopic excision and bilio-enteric anastomosis was carried out. She had highly vascular and thick fibrotic cyst wall with adhesions due to multiple cholangitic attacks. The surgery could be completed completely Laparoscopically with minimal blood loss. Child had a very comfortable post operative recovery, starting oral feeds 48 hours after surgery with excellent cosmetic outcome. Currently minimally invasive technique is being the procedure of choice for such complex anomalies with excellent outcomes.
One stage Trans-anal Swenson’s Pullthrough was performed for Hirschsprung Disease in a 3 months old girl child. This child had presented with life threatening enterocolitis when she was diagnosed with Hirschsprung’s disease affecting Rectum, distal half of sigmoid colon. After intense bowel management , she underwent complete trans anal mobilization of rectum and colon upto mid sigmoid and with Frozen section guidance normal ganglionic segment was identified and excision of aganglionic segment with coloanal anastomosis was performed. Typically this procedure is done in stages with colostomy and laparotomy/laparoscopy which requires multiple surgeries, anaesthesia s and leaves a large scar. Child required minimal analgesia,could be fed few hours after surgery and passed stool spontaneously , discharged in 2 days post op. There is no scar on her abdomen or perineum which is a great cosmetic benefit to the girl child. Fetal volvulous is an extremely rare condition and a challenge to diagnose and manage. Only few cases have been reported in the world literature with instances of fetal death , still births in neglected cases. It’s a complex multidisciplinary approach with state of the art NICU care which helps in survival of potentially morbid and lethal condition.
A preterm Low Birth Weight (1.3 kg) child, born with antenatally detected ventriculomegaly and bowel distension developed respiratory distress and hugely distended abdomen within 6 hours of birth. Preliminary clinical and radiological assessment revealed hugely distended proximal bowel with splinting of the diaphragm. Due to severe abdominal distension and suspected ischaemic bowel, emergency laparotomy was done at 7th hours of birth. A rare (1:10000-20,000 LIFE BIRTH) Type 3 Jejunal atresia with Apple peel deformity of distal bowel(anomalously supplied by inferior mesenteric artery trunk) and thick putty-like meconium in the hugely distended Jejunal blind loop was encountered. The bowel was decompressed, the viability of bowel was restored and a Chimney bowel repair was done. The compliance of lung was restored and ventilation could be normalized. The child has been recovering well in NICU and been started on feeds.There is no scar on her abdomen or perineum which is a great cosmetic benefit to the girl child.
Fetal volvulous is an extremely rare condition and a challenge to diagnose and manage. Only few cases have been reported in the world literature with instances of fetal death , still births in neglected cases. It’s a complex multidisciplinary approach with state of the art NICU care which helps in survival of potentially morbid and lethal condition.
This variety of HD is extremely rare (incidence of 1:25000 live birth) affecting almost entire colon. The Hybridisation technique ( devised by Japanese )allowes part of ileum to be incorporated into a segment of right side of the colon and the composite segment is Pulled through upto the native anal canal. Most of the colon is resected out. This essentially allows the water and electrolyte absorption and chance of survival. This technique has been done for the first time in UAE . This surgery was done by incorporating endoscopic and open techniques.Fetal volvulous is an extremely rare condition and a challenge to diagnose and manage. Only few cases have been reported in the world literature with instances of fetal death , still births in neglected cases. It’s a complex multidisciplinary approach with state of the art NICU care which helps in survival of potentially morbid and lethal condition.
Successful surgery on 7 year old girl with an extremely rare combination of jejuno-ileal intussusception and suppurative obstructive appendicitis. The child presented with acute abdomen and atypical symptoms leading to diagnostic dilemma. This combination is extremely rare , only 10 case reports have been found in the literature including children and adults since 1923.
A fleet of 24 magnets were removed successfully from a 2 years old patient by combined endoscopy and laparotomy. The child had ingested unaccounted number of magnetic spheres 3 months back and went unnoticed.
A 13 year old girl has been successfully treated by total Laparoscopic excision of type 1 –C Choledochal cyst and hepatico-duodenostomy . She has been having recurrent abdominal pain, post feeding discomfort, nausea, occasional fever and vomiting. After thorough evaluation a large type 1c Choledochal cyst associated with hepatosplenomegaly was diagnosed. After preparation, Laparoscopic excision and bilio-enteric anastomosis was carried out. She had highly vascular and thick fibrotic cyst wall with adhesions due to multiple cholangitic attacks. The surgery could be completed completely Laparoscopically with minimal blood loss. Child had a very comfortable post operative recovery, starting oral feeds 48 hours after surgery with excellent cosmetic outcome.
Currently minimally invasive technique is being the procedure of choice for such complex anomalies with excellent outcomes.
One stage Trans-anal Swenson’s Pullthrough was performed for Hirschsprung Disease in a 3 months old girl child. This child had presented with life threatening enterocolitis when she was diagnosed with Hirschsprung’s disease affecting Rectum, distal half of sigmoid colon. After intense bowel management , she underwent complete trans anal mobilization of rectum and colon upto mid sigmoid and with Frozen section guidance normal ganglionic segment was identified and excision of aganglionic segment with coloanal anastomosis was performed. Typically this procedure is done in stages with colostomy and laparotomy/laparoscopy which requires multiple surgeries, anaesthesia s and leaves a large scar. Child required minimal analgesia,could be fed few hours after surgery and passed stool spontaneously , discharged in 2 days post op.
There is no scar on her abdomen or perineum which is a great cosmetic benefit to the girl child.
Fetal volvulous is an extremely rare condition and a challenge to diagnose and manage. Only few cases have been reported in the world literature with instances of fetal death , still births in neglected cases. It’s a complex multidisciplinary approach with state of the art NICU care which helps in survival of potentially morbid and lethal condition.
A preterm Low Birth Weight (1.3 kg) child, born with antenatally detected ventriculomegaly and bowel distension developed respiratory distress and hugely distended abdomen within 6 hours of birth. Preliminary clinical and radiological assessment revealed hugely distended proximal bowel with splinting of the diaphragm. Due to severe abdominal distension and suspected ischaemic bowel, emergency laparotomy was done at 7th hours of birth. A rare (1:10000-20,000 LIFE BIRTH) Type 3 Jejunal atresia with Apple peel deformity of distal bowel(anomalously supplied by inferior mesenteric artery trunk) and thick putty-like meconium in the hugely distended Jejunal blind loop was encountered. The bowel was decompressed, the viability of bowel was restored and a Chimney bowel repair was done. The compliance of lung was restored and ventilation could be normalized. The child has been recovering well in NICU and been started on feeds.There is no scar on her abdomen or perineum which is a great cosmetic benefit to the girl child.
Fetal volvulous is an extremely rare condition and a challenge to diagnose and manage. Only few cases have been reported in the world literature with instances of fetal death , still births in neglected cases. It’s a complex multidisciplinary approach with state of the art NICU care which helps in survival of potentially morbid and lethal condition.
This variety of HD is extremely rare (incidence of 1:25000 live birth) affecting almost entire colon. The Hybridisation technique ( devised by Japanese )allowes part of ileum to be incorporated into a segment of right side of the colon and the composite segment is Pulled through upto the native anal canal. Most of the colon is resected out. This essentially allows the water and electrolyte absorption and chance of survival. This technique has been done for the first time in UAE . This surgery was done by incorporating endoscopic and open techniques.Fetal volvulous is an extremely rare condition and a challenge to diagnose and manage. Only few cases have been reported in the world literature with instances of fetal death , still births in neglected cases. It’s a complex multidisciplinary approach with state of the art NICU care which helps in survival of potentially morbid and lethal condition.
Successful surgery on 7 year old girl with an extremely rare combination of jejuno-ileal intussusception and suppurative obstructive appendicitis. The child presented with acute abdomen and atypical symptoms leading to diagnostic dilemma. This combination is extremely rare , only 10 case reports have been found in the literature including children and adults since 1923.
A fleet of 24 magnets were removed successfully from a 2 years old patient by combined endoscopy and laparotomy. The child had ingested unaccounted number of magnetic spheres 3 months back and went unnoticed.
