Children's Surgical Specialists, Abeokuta, Nigeria

06/06/2021

Time to take action .......

11/05/2020

https://youtu.be/dhfoDsaCph8

To learn more about Pediatric Otolaryngology at Children’s Hospital Colorado, visit our website: https://www.childrenscolorado.org/doctors-and-departments/de...

26/03/2020

12/03/2019

https://www.facs.org/education/patient-education/patient-resources/prepare/10-questions

Bring these 10 questions to your surgeon before having an operation. Be better prepared.

02/02/2019

For all our children preparing for your surgery...

The Surgery team at Children's compiled these tips for parents to help your child get ready for surgery.

18/06/2018

*CHILDREN'S HEART PROGRAM*
*7th Ed*

Brought to you by *X-serve Children's Hospital*, Surulere-Lagos in collaboration with *Apollo Hospitals,* Chennai, India.

Initiated in the year 2013, this program has given succour to families, bringing home an opportunity for children to benefit from comprehensive team review by a team of local and international paediatric cardiologists.

*Featuring*:
- Free Consultations
- Free Seminar
- Heart disease screening for children (... including Risk Assessment)
- Echocardiography (ECHO) 30% discounted,
- ECG (50% discounted)
- Second opinion from multi - specialist team.
- Interactive Sessions

*Date- Thurs 21st - Fri 22nd June, 2018*

*Venue: X-Serve Children's Hospital,*
By the Foot Bridge, at the end of Alhaji Masha Road, Surulere-Lagos

Call to Book: limited slots available!
*09030001815, 09030001816, 07046236098*

Email: xserveclinics@gmail.com
Pls re-broadcast

20/05/2018

Hello everyone.
As part of our public health awareness series we will be discussing Hypospadias today,
Hypospadias (hypo-spay-dius) is an abnormality of the p***s in which the opening of the p***s is on the underside causing the baby to spray while urinating.. It is common presentation in pediatric surgery clinics and affects about one in 150 male babies. It can be detected at birth.

The urethra is a tube connecting the bladder to the tip of the p***s, carrying urine (wee) outside of the body. When hypospadias occurs, the end of this tube does not form properly and the urine can come out in the wrong place on the undersurface of the p***s (see pictures).

In most cases, the fo****in is also underdeveloped and an abnormal curvature of the p***s known as chordee can occur in addition. If untreated, Hypospadias can affect self-esteem and sexual function in the future.

Unless it is very mild, hypospadias usually requires surgery preferably before the child is aware of his ge****ls

While hypospadias is usually detected at birth, in some instances it is not picked up for several years. If you are concerned about your child's p***s, see a pediatrician or pediatric surgeon for a proper examination.

Some cases of hypospadias are also associated with undescended testicles another abnormality of development in boys (discussed previously in our series)

Treatment for hypospadias

The treatment options depend on how severe the hypospadias is. Sometimes your child's urinary tract will need to be investigated to make sure that there are no other problems, especially when the abnormality is more severe.

Unless very mild, hypospadias is usually corrected by surgery to:
(i) move the hole (urethral opening) to the tip of the p***s, and close over the hole that was previously there – this will enable your child to urinate standing up and with a straight stream of urine
(ii) correct the bend so that the p***s is straight and make the p***s look normal.

The age for correction is from six to 18 months of age, depending on a number of factors. You will need to discuss this with your child's surgeon. More than one operation may be required.

It is not advisable for your child to be circumcised before surgery. The fo****in may need to be used in the operation.

31/03/2018

Procedures Performed by Pediatric Surgeons
Pediatric surgeons perform numerous types of procedures and treat a wide range of medical conditions in children. The conditions they may treat through surgery include the following.
Appendicitis— when the appendix becomes infected or it is painful due to inflammation, it may need to be removed. Emergency appendectomies may also be performed in the event that the appendix ruptures.
Biliary atresia— this surgical procedure corrects a congenital birth defect where the bile produced by the liver cannot be emptied properly. The bile ducts are rerouted during this operation so that the liver can begin to drain as it needs to.
Cancer treatments— there are a number of childhood cancers that a pediatric surgeon may be required to treat, which can include cancers of the liver, abdomen, kidneys or pancreas. The surgeon may also operate to implant a portocath or to remove a cancerous tumor prior to radiation or chemotherapy.
Congenital defects— there are numerous congenital defects that may impact the ability of a child to thrive. Malformations may occur in virtually every organ system. Common malformations that require surgical care include those of the a**s/rectum, trachea/ lungs, kidneys, hearts and limb. The surgeon may need to reconstruct the impacted organ and then prescribe medicine to help with the ongoing treatment of an associated condition.
Gallbladder surgery— the gallbladder may become infected due to a virus, formation of a stone or another medical condition. If other treatment methods fail, surgery to remove the gallbladder may be required.
Gastroschisis/ Omphalocele— these abdominal wall defects cause the intestines and stomach to fall from the body through a hole in the infant’s abdomen. A pediatric surgeon will perform surgery immediately following birth to place the organs back into place and to seal the opening.
Bowed chest— this occurs when a child’s breast bone and ribs grow disproportionately and may require surgical intervention if braces and other forms of treatment do not correct the issue.
Reproductive/ Ge***al defects— if a child has suffered from a congenital defect of the ge****ls, surgical intervention may be required to remove tumors and cysts or to correct dysfunction of the organs.
Removal of the spleen— it is possible for a child to need to undergo a splenectomy if suffering from certain disorders of the blood or if he or she has suffered a traumatic injury.
Bariatric surgery— a treatment for childhood obesity where a balloon is inserted into the esophagus to narrow the opening and reduce appetite.
Removal of diseased intestines— some birth defects result in the inflammation of the bowel followed by tissue death. The only way the condition can be treated after the bowel has been seriously damaged is through surgery.
Hernia surgery— if a child is born with a hole in the groin that does not close on its own, the surgeon may need to perform a surgical procedure in order to prevent the intestines from falling through this opening.
GERD treatment— also referred to as acid reflux, GERD often occurs when stomach acid is able to flow back up the esophagus. It can be corrected by tightening the opening between the esophagus and the stomach so that the acid is contained.
Abnormal pathways— when a child’s trachea or esophagus is malformed, it can result in respiratory or digestive problems. It may even threaten the child’s life and could require surgical intervention to reconstruct the airway or the path of the esophagus to the stomach.
Imperforate a**s— if a child is born without an opening in the a**s, or when the opening is in the wrong location, a surgical procedure is required to allow waste to be eliminated through the bowel.

21/03/2018

*THE PAEDIATRICIAN’S DIARY*

*_THE SALTS OF LIFE, PART 2:_*
*_HOW DO YOU GET SMALL CHILDREN TO ACCEPT ORS?_*

In my preceding post, I discussed how to make ORS with salt and sugar at home. But some children *DO NOT accept* ORS.

*What you must not do*:
1. Do not mix ORS with any other drink in attempt to make it more palatable.
2. Do not add more sugar than required. When you do, this could worsen the diarrhea.

*What you should do*:
1. Give with a teaspoon, this allows small quantities to be better tolerated.

2. Use *distraction* to encourage acceptance. This means diverting the child’s attention away from the ORS to something else that is more interesting to the child. The spoonful is offered in between these distractions.

3. Give one spoon every 5-10mins. Give yourself adequate time and do it very *patiently*.

4. You may want to chill the drink a bit if your child enjoys cold drinks.

5. Give *10 times your baby’s weight (quantity of ORS)* after every loose stool (e.g. 100mls of ORS if your child weighs 10kg)

If the child *vomits ORS*, wait for 30 minutes and repeat. If vomiting persists, *intravenous fluid replacement* is the next step. See your doctor urgently.

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16/03/2018

*FROM THE PAEDIATRICIAN’S DIARY*

*_THE SALTS OF LIFE_*

A child who passes 3 or more watery stools in a day has diarrhea. A child with serious diarrhea and dehydration has sunken eyes, dry lips and becomes irritable or weak.

Oral rehydration solution should be started before dehydration sets in! ORS is the *_salt of life_*.

When you do not have packaged ORS sachet at home, you could *‘do it yourself’.*

1. 10 level teaspoons of *_sugar_*
2. 1 level teaspoon of *_salt_*
3. Mix with 600mls of *_clean water_* (small 'nestle' bottle water is 600mls, but you can estimate with any other)

Give to your child after every loose stool and also as often as possible. For infants and toddlers, administer with spoon slowly and patiently. Older children can drink from cup.

Give *Zinc tablets* for 10days (10 mg daily for children under 6 months, 20mg daily for older children).

Please see your doctor as early as possible.

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11/11/2017

18/10/2017

What Is an Undescended Testicle?
In the last few months of a pregnancy, a baby goes through all kinds of changes. The eyes open wide, the bones fully form, and weight gain ramps up. For boys, it’s also when the testicles move from the lower belly to the sc***um, that pouch of skin below the p***s.
But sometimes, one or both testicles don’t fall into place. That’s called an undescended testicle. It can happen to any baby boy, but it’s more common for those born earlier than expected ( premature delivery).
More often than not, the testicle drops into the sc***um on its own by the time the baby is 6 months old. If it doesn’t, the child will likely need surgery.
What Causes It?
Doctors aren’t sure why it happens. They think it’s related to genes, the mother’s health, and outside influences that change how hormones and nerves normally work.
How Do I Know There’s a Problem?
The main sign: You can’t see or feel the testicle in the sc***um. When both are undescended, the sc***um looks flat and smaller than you’d expect it to be.
Some boys have what’s called a retractile testicle. It may move up into his groin when he is cold or scared but moves back down on its own. It’s generally not a problem. The difference is that an undescended testicle stays up -- it doesn’t move back and forth.
Diagnosis
In most cases, your doctor finds the problem as part of a regular check-up soon after birth.

What Problems Can It Cause?
An undescended testicle is related to a number of conditions:
Fertility problems. Because s***m need to be a little cooler than the rest of the body, an undescended testicle can cause fertility issues. This is more of a problem when both are lodged in the groin. Early treatment can make a big difference.
Hernia. This is a condition where part of the intestine bulges through the muscles of the lower belly.
Injury. When the testicle is out of place, it’s more likely to be damaged.
Cancer. Men who have an undescended testicle are a little more likely to get testicular cancer, even if they have surgery to treat it. But surgery makes routine self-exams possible, so if cancer does appear, it can be found early.
Testicular torsion. This is when the cord that carries semen to the p***s gets twisted up. It’s painful and can cut off blood flow to the testicle.
Treatment
Very often, the testicle moves into place within a few months. At first, you’ll want to wait and see how things go with regular check-ups. If it doesn’t drop into the sc***um by 6 months, your doctor will likely suggest surgery.
Surgery is the most common treatment, and it almost always works. It’s usually done when the baby is 6-12 months old to get the most benefit. Early treatment can lower the chances that your boy will have problems with fertility later in life.
An undescended testicle can also be treated with hormones. This isn’t the typical treatment though. It usually doesn’t work as well as surgery, and there may be side effects.

18/10/2017

More about undescende te**is....

22/09/2017

A child is not a small adult but a unique individual with different anatomy and physiology. Paediatric surgery is the major surgical specialty which is defined by the patient’s age
rather than by specific condition. It involves surgery of the Foetus, Infants, Children,
Adolescents, and Young adults to age of 16 years