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An Interesting Case Study
Four years back i was called to see this sick child ,who is just 50 days old. Admitted for lung infection but was not responding to routine antibiotics, his condition becomes critical, baby required ventilatory support , suddenly abdomen got bloated, , X- ray, scan taken, all suggested infection has gone to intestine and baby needed emergency surgery.
Parents counselled, first they were reluctant for Surgery, then we told, we don't have any choice, finally they agreed. I operated on this baby, same day evening, to my surprise, there was lot of pus in the abdomen, nearly 90 cm of small intestine was not healthy and necrosed.
I had to resect (remove) 90 cm of bowel, restore (the rest of bowel ) continuity of small intestine with available bowel ( small intestine). Surgery was successful, then baby continues to receive, ventilatory support and higher antibiotics.
After few days baby started improving, we weaned from ventilator, bowel anastomoses was taken up well, We started oral feeds & discharged after one month of surgery ,
Now child is 4 yr old , thriving well . This baby I can't forget in my life .
We took a bold decision, operating on a very sick baby.
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.