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Wilms Tumour
This is one of the most common childhood tumour, it affect the kidney, usually affects school going kids, one of the good prognostic tumour.
What do you see – Presentation
Silent mass (painless), fever, hematuria (blood in the urine), distended abdomen.
When I see such patients, I find..
Huge mass in the abdomen which is painless, relatively well preserved child.
Treatment why...?...when..?
Confirmation is by USG abdomen and CT scan, since it is malignancy (cancer of kidney) treatment has to be very early.
Treatment options
Usually laparatomy and removal of the tumour with kidney followed by chemotherapy and radiotherapy.
Follow Up care
The patient has to stay in the hospital for seven days with catheter in the urinary bladder. The stitches are dissolvable and need not require removal. The child can take food third day of surgery, can go to school after fifteen days, the child has to take chemotherapy for eighteen to twenty four weeks depends on the stage of the disease.
My Experience
I have done more than two hundred willms’ tumour surgery with no major problems.
Dr. C. SankkaraBarathi
MBBS, MS (Gen), MCh (Paediatric Surgery)
Paediatric Surgeon
Paediatric Urologist
Quick Contact
- SRI SAINATH HOSPITAL AND RESEARCH INTITUTE, Old No.11, New No.9, McNichols Road, 4th Lane, Chetpet, Chennai – 600031 (Opp. to Chetpet Police Station)
- drcsbarathi@yahoo.co.in
- 044-28363234 / 28361535 / 48639988 / 42867758
- 9840113875
My Advice on Common Conditions
Undescended Testis
Undescended testis is found in 3% of term boys and 30% of preterm boys.
When the baby is formed in the womb, the testis is initially formed inside the baby’s belly.
Wilms Tumour
This is one of the most common childhood tumour, it affect the kidney, usually affects school going kids, one of the good prognostic tumour.
Phimosis
Narrowing of foreskin or non retractile foreskin. Empty scrotum one side or both sides, can be identify in new born. It can descend in three to four months without any intervention.
Tongue Tie
Is a congenital oral anomaly which may decrease mobility of tongue tip & is caused by an unusually short thick lingual frenulum.
Hypospadias
Abnormal opening of Urethral opening in the under surface of penis, very common pediatric urological problem Incidence is one in five hundred.
Intussusception
Intussusception is the invagination of one part of intestine into another. This occurs in one in 2000 infants. It is the most common abdominal emergency in infants.
Habit Constipation
This is one of the common condition - a child with constipation may have bowel movements less frequently than normal, hard bowel movements, or large, difficult, painful bowel movements.
Hernia - Hydrocele
A small passage has developed or left open connecting the belly to baby's groin, the second common surgical condition next to phimosis.
Appendicitis
Most common acute surgical condition in pediatric age group incident is nearly nine percent in male children and seven percent in female children.
Congenital pyloric stenosis
This occurs between 4th week of age to 6 week of age, can occur in new born also, exact cause not known.