Dr. Shweta Pediatric and Neonatal Surgeon

08/09/2025

IHPS
INFANTILE HYPERTROPHIC PYLORIC STENOSIS
Index case
1m 10 days male with persistent vomiting since 15-20 days. Non - bilious, progressive projectile, decreased oral intake, not passing stool for past 2 days.
O/ E
Drowsy lethargic child, severely dehydrated, visible fullness in Epigastric region and demonstrable gastric peristalsis.

Clinic clues
1. First born male child
2. ⁠Onset of vomiting past 14 days of life ( D/ D GERD)
3. ⁠Nature of vomiting
4. ⁠Visible gastric peristalsis
Clinical Diagnosis
Infantile Hypertrophic Pyloric Stenosis

How to proceed
1.
Start resuscitating the child
2. ABG
3. ⁠X-ray abdomen and pelvis
4. ⁠Ultrasound whole abdomen : Specifically write to comment on pyloric muscle length and thickness.

Diagnostic part is over .

What is UNNECESSARY
Call for upper GI contrast immediately:
Reason
The pylorus is occluding the stomach and your baby is drowsy . During the contrast study , since radiologist are not vigilant to handle babies, overfilling the stomach increases the risk of aspiration in a drowsy/ Lethargic baby.
So for me I won’t… except a borderline case where I will do it myself under guidance.

INTERVENTION
1. Biochemical correction first
followed by
PYLOROMYOTOMY
A successful Pyloromyotomy brings immediate result provided we do it after optimisation of baby. No rush

Improperly corrected baby do no come out of anaesthesia and risk of post op ventilation and mortality is high.
Sharing the clinic pics for correlation.
Hope you find the discussion useful.

Gratitude ✨🙏

24/08/2025

Hepatitis A Awareness Drive
# TEAM IAP FARIDABAD BRANCH

16/08/2025

TORSION OF TE**IS
Acute emergency seen in boys around puberty.
MISS NO SIGN
MISS NO TIME!!
# PEDIATRIC SURGEON # BELL CLAPPER TRSTIS # ADOLESCENT BOYS # TORSION TE**IS

15/08/2025

INTUSSUCEPTION # PEDIATRIC SURGEON

15/08/2025

Happy 79th Independence Day of our nation

04/08/2025

HIRSCPRUNGS DISEASE
Seek timely help from pediatric surgeon for newborns who present with fullness of tummy, failure to pass first stool withing first 2 days and persistent constipation.
Timely help cures and saves life.
# HIRSCPRUNGS DISEASE # BIRTH DEFECT # PEDIATRIC SURGEON

29/07/2025

https://youtu.be/5ceQuzUanp4?si=3Ykm7AWaNfN_6Ao2
ESOPHAGEAL ATRESIA AND YRACHEOESOPHAGEAL FISTULA # BIRTH DEFECT # PEDIATRIC SURGEON

In this video, open thoracotomy and repair of esophageal atresia and distal tracheo-esophageal fistula is demonstrated in for a 3 day old baby. The video sho...

27/07/2025

UNDESCENDED TE**IS
A birth defect where te**is fails to reach the sc***um. The newborn baby presents as empty scrotal sac. It can be on one side or both sides and sometimes can present with ambiguity of male genitalia .
If spontaneous decent of te**is doesn’t occur by 6 months of age ,then a surgical intervention is required to bring the te**is down to sc***um , medically known as ORCHIDOPEXY to prevent the loss of te**is and its function of s***m production.

CORRECT AGE OF SURGERY IS 6-9 months.
Consult your pediatric surgeon timely.

23/07/2025

🔴 जन्म से पहले बचाव, जन्म के बाद सही इलाज! 🔴
👶🏻 भारत में हर 10 में से 1 नवजात शिशु (newborn) की मृत्यु Congenital Structural Defects (जन्मजात संरचनात्मक विकृतियाँ) के इलाज के अभाव में होती है।

👉 Congenital Structural Defects वे जन्मजात विकृतियाँ हैं जो शरीर के किसी अंग की संरचना में गड़बड़ी के कारण होती हैं – जैसे:
• Congenital Heart Defect (हृदय की बनावट में खराबी)
• Neural Tube Defects – जैसे Spina Bifida, Encephalocele
• Cleft Lip and Palate (कटा होंठ व तालू)
• Anorectal Malformation (मलद्वार की विकृति)
• Tracheoesophageal Fistula (श्वास और भोजन नली का असामान्य जुड़ाव)
• Posterior Urethral Valve (मूत्रमार्ग की रुकावट)
• Diaphragmatic Hernia, Intestinal Atresia, आदि।

🛑 दुर्भाग्य से, भारत के कई हिस्सों में इनका समय पर निदान (diagnosis) और सर्जिकल ट्रीटमेंट (surgical treatment) नहीं हो पाता — क्योंकि:
❌ Pediatric Surgeons की भारी कमी
❌ मेडिकल कॉलेजों में Pediatric Surgery Units नहीं
❌ सरकारी और निजी बीमा योजनाओं में Congenital Defects को कवर नहीं किया जाता
❌ जनसामान्य में जागरूकता का अभाव

🩺 समाधान क्या है?
✔️ हर ज़िले में Pediatric Surgical Services की उपलब्धता
✔️ Health Insurance और Ayushman Bharat योजनाओं में जन्मजात संरचनात्मक दोषों को अनिवार्य रूप से शामिल करना
✔️ Antenatal Diagnosis (जन्म से पहले अल्ट्रासाउंड द्वारा पहचान) और Early Referral
✔️ माता-पिता और समाज को जागरूक करना कि ये बीमारियाँ इलाज योग्य हैं

🌟 “Every child deserves a chance – हर बच्चे को जीवन का पूरा अवसर मिलना चाहिए।”
आइए, एकजुट होकर ये सुनिश्चित करें कि कोई भी शिशु इलाज के अभाव में ना जाए।

#बाल_स्वास्थ्य #जन्मजातविकृति

22/07/2025

HEMANGIOMA AND VASCULAR MALFORMATION
A birth defect which present at or soon after birth.
Meet your pediatric surgeon to understand the problem and optimum treatment plan.
Right counselling and right approach helps
# Pediatric Surgeon # Vascular Malformation # HEMANGIOMA # Birth defect

19/07/2025

Hirschprungs Disease
A birth defect where the newborn fails or there is delay past 48 hours to pass 1st stool after birth which we call Meconium.
Older babies present with constipation or straining during defecation , abdominal fullness and sometimes with acute infection of intestine requiring hospital admission.

The condition can be picked up by a pediatric surgeon by clinical examination and certain radiological tests which helps in formulation of treatment plan.

# HIRSCPRUNGS DISEASE # PEDIATRIC SURGEON

18/07/2025

Phimosis
A condition when there is difficulty in retracting preputial skin .( The fo****in which covers the g***s. )

It is physiological in kids but sometimes can lead to difficulty in passing urine leading to urinary tract infection.

Timely consultation with pediatric surgeon helps in proper counselling and management.