Difference between pediatric endoscopic surgery vs laparoscopy in children

Pediatric experts opt for pediatric endoscopic surgery nowadays because this treatment is effective in healing many problems related to the lungs, stomach, and large intestine. Like endoscopic surgery, laparoscopic surgery is a minimally invasive technology and a popular treatment to recover kids from various health problems.

Laparoscopy is a normal surgical process that comes with small incisions. Normally doctors suggest Laparoscopy for kids to avoid major surgery and extended healing period. In this surgery, small cuts like a keyhole are made inside on body.

In the case of endoscopy, no skin cuts are done, and it is performed to diagnose the digestive tract. During endoscopy, the patient remains conscious, but in the case of Laparoscopy, general anesthesia is used. Dr.Vishesh Dikshit one of the best pediatric endoscopic specialists in Pune performs this surgical treatment with all necessary care and protective measures. Parents often enquire whether Endoscopy and Laparoscopy are painful for their kids or not.

Kids can feel uncomfortable during endoscopy, but it will not cause pain. Doctors give intravenous sedatives so that patients don’t feel any pain. Again, in the case of Laparoscopy, doctors use local anesthesia so that patients don’t feel any pain.

Normally both surgical treatments are not painful, but kids can suffer from allergic infections, etc, post endoscopy due to the use of sedatives. No doubt all are curious to know more about pediatric endoscopic surgery, and all can consult with Dr. Vishesh Dikshit for the Best pediatric endoscopic surgery in Pune.

About Dr.Vishesh Dikshit

Dr. Vishesh Dikshit graduated from Govt. Medical College, Calicut, Kerala, in 2004 with an MBBS degree in medicine. In 2012, he received an MS in General Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai, and in 2015, he received an MCh in Pediatric Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai.

Problems of Gallstone

If your kids are suffering from Gallstones, you need to be aware of the problems that your kids will face.

• Your kids will suffer from severe abdominal pain due to the stones in the gallbladder. This is also called biliary colic.
• Kids can also suffer from gallstones due to infection in the gallbladder. The infection is known as Cholecystitis.
• The duct draining area of the gallbladder can get blocked due to the stones in the gallbladder.
• Kids will sometimes also suffer from inflammation in the pancreas.

Symptoms of Gallstones in kids

Most of the time, Gallstones do not come with symptoms. Though, sometimes your kids will complain of having pain in the upper right belly or middle part. Kids will suffer from severe pain just below the rib cage. Sometimes the pain may get sharp and kids will face cramps in the belly.

Besides the symptoms mentioned above, your kids can suffer from the problems like nausea, vomiting, fever, excess burping, etc.

How to diagnose?

It has been noticed that once doctors suspect having gallstones in kids, they often recommend an ultrasound. This test will also help the physicians to understand the liver’s condition. Physicians will get all details about the gallstone and how to treat the gallstone. Ultrasound is preferred as it is not painful.

Recovery in Laparoscopic Surgery

Laparoscopic surgery takes a very short time. Post-procedure, doctors suggest parents encourage their kids to walk several times a day to recover fast. Parents need to abstain their kids from consuming heavy food or drinks within 24 hours of the surgery.

About Dr.Vishesh Dikshit

Dr. Vishesh Dikshit is the Best pediatric laparoscopic surgery in Pune and provides all kinds of Best pediatric laparoscopic treatment in Pune. He has 17+ years of experience in the medical field. His main areas of interest are Pediatric Minimal Access Surgeries, Pediatric Colorectal Diseases, and Pediatric Urinary Stone Disease.

He finished his MBBS from Govt. Medical College Calicut, Kerala in 2004. MS in General Surgery from Lokmanya Tilak Municipal Medical College, Sion, Mumbai in 2012 & MCh in Pediatric Surgery from Lokmanya Tilak Municipal Medical College, Sion, Mumbai in 2015.

• Smaller patient size

The patient’s size is a major factor in pediatric surgery. For example, pediatric surgeons can operate on infants, children, or adolescents. Adult surgeons can also treat children, but they are not always familiar with children’s growth, developmental issues, and complications.

• Age limits (fetal surgery)

Pediatric surgeons may perform fetal surgery if the fetus has a congenital abnormality that will require surgery after birth. Pediatric surgeons are also trained to care for premature infants who are also underweight.

• Ethical consideration

The ethical aspect plays an important role in pediatric surgery. Many conditions require complex management, but the parents want them to be managed conservatively and sometimes not at all.

• Different organs and systems

Pediatric surgeons treat various diseases involving different organs and systems. They require sound knowledge about many different organs and diseases to make proper management decisions.

• Lack of significant disease burden

There are generally fewer cases of each condition in kids than in adults. Still, those conditions can be much more severe and lead to lifelong problems requiring prolonged treatment.

Conclusion

Pediatric surgery is a rapidly growing field, and parents must know how to recognize warning signs and symptoms. If you are concerned about your kid’s health during surgery, then contact Dr. Vishesh Dikshit at Pune.

About Dr. Vishesh Dikshit

Risks of appendectomy include:

• Infection at the surgical site

Signs and symptoms include redness, warmth, drainage of pus, and fever.

• Bleeding

The incision may bleed during or after the procedure. Bleeding can be controlled with medication or returning to the hospital for further surgery.

• Reaction to anesthesia

Anesthesia reactions range from mild side effects such as nausea and vomiting to rare but more serious reactions involving the heart, lungs, and brain.

• Blood clots that form in the legs or lungs after surgery

These blood clots can be life-threatening if they travel to other parts of your body, including your lungs or brain. Usually, this is seen in elderly patients undergoing prolonged surgery but rarely may affect children.

How is Laparoscopic Appendectomy Performed in children?

• The patient is given general anesthesia. It is the only way to perform an appendectomy, as it is a very invasive procedure.
• The surgeon makes a small incision in the abdomen. Carbon dioxide gas is then released into the abdomen to create space between the abdominal organs and the abdominal wall.
• A laparoscope, a narrow tube containing a light and camera, is inserted by the surgeon through the small incision. The laparoscope sends images of the appendix and abdominal organs to the monitor.
• The surgeon inserts other surgical instruments into other small incisions and uses them to remove the appendix, which will be sent to the lab for analysis.
• The surgeon removes all instruments from the incisions and closes them with stitches or surgical tape.

Conclusion

In conclusion, the performance of laparoscopic appendectomy in children has been greatly improved. This method is a safe alternative to open surgery as it causes fewer complications, is a shorter procedure, and reduces the patient’s stress.

About Dr. Vishesh Dikshit

Dr. Vishesh Dikshit graduated from Govt. Medical College Calicut, Kerala, in 2004 with an MBBS degree in medicine. MS in General Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai, in 2012, and MCh in Pediatric Surgery from Lokmanya Tilak Municipal Medical College in Sion, Mumbai, in 2015.

In particular, he is interested in Pediatric Minimal Access Surgery (through Laparoscopy, Thoracoscopy, and Genitourinary-scopy), Pediatric Colorectal diseases (including Hirschprung’s disease and Anorectal Abnormalities), and Pediatric Urology Disease.

Five common digestive disorders in kids:-

• EGID or Eosinophilic Gastrointestinal Disorder

Eosinophilic Gastrointestinal Disorder occurs when there are excess white blood cells in the digestive tract of your child. It can result in swelling and inflammation that can further cause discomfort and pain. Your child may also experience difficulty swallowing. Doctors may recommend eliminating some foods that cause allergic reactions from the diet.

• IBD or Inflammatory Bowel Disease

Inflammatory Bowel Disease can cause belly pain and watery stool that can sometimes be bloody. It can be of two types- Ulcerative colitis and Crohn’s disease. Certain other problems that can happen as a result of Inflammatory Bowel Disease and IBD are- liver disease, joint pain, kidney stones, weak bones, and irritated eyes. If your child has severe symptoms, they may require surgery.

• Celiac Disease

Celiac Disease occurs when your child’s digestive system cannot tolerate gluten. It is a protein that is present in barley, rye, and wheat. Having gluten will cause the immune system to attack the small intestine’s lining.

• Lactose Intolerance

The sugar lactose is present in milk naturally. Children who have lactose intolerance cannot digest it. So, when they have milk, they experience bloating, gas, and cramps.

• Short Bowel Syndrome

Short Bowel Syndrome in children happens when they are unable to absorb nutrients from food. It occurs when they have missing sections from their intestine. Some symptoms they may have are- diaper rashes, malnutrition, and dehydration.

Conclusion:-

Dr. Vishesh Dikshit is one of the well-known Pediatric surgeon in Pune. His main areas of interest are Pediatric Minimal Access Surgeries, Pediatric Colorectal Diseases, and Pediatric Urinary Stone Disease. He has 17+ years of experience in the medical field.

Gallbladder disease occurs due to the hardening of the bile that leads to the formation of stones. In most cases, gallstones in children require surgery. Below, we will talk about the five signs that your child needs gallbladder surgery.

Five signs your child needs gallbladder surgery:-

The following are the five signs that your child needs gallbladder surgery-

• They have pain in their abdomen’s upper right side, especially after the consumption of fried and fatty meals.
• They may experience episodes of vomiting and nausea
• They may get sweats, fever, and chills
• They may suffer from jaundice that can change the color of the skin and eyes to yellow
• They may have pain that spreads to the back

Treatment of gallbladder disease- Types of Surgery:-

Your child will get a medicine that will keep them asleep at the time of the surgery. The removal of the gallbladder will require around one to two hours, and then the staff will transfer your child to the recovery room.

• Laparoscopic surgery

Laparoscopic surgery is done by the surgeon making small incisions. They insert a tube with surgical instruments and a camera through the incisions. In this way, they remove the gallbladder.

• Open surgery

Children mostly do not require open surgery. But, in the past, if they went through other operations on their abdomen, then they may need open surgery.

Conclusion:-

Dr. Vishesh Dikshit is one of the well-known Pediatric Surgeon in Pune. His main areas of interest are Pediatric Minimal Access Surgeries, Pediatric Colorectal Diseases, and Pediatric Urinary Stone Disease. He has 17+ years of experience in the medical field.

Constipation with Kidney Problems

Bloating and stomach ulcers are more likely to occur if one consumes a lot of fast food full of hazardous materials and chemicals. Increased sodium intake (from fast food) causes the body to retain more water, which may lead to a swollen or bloated abdomen as well as stomach pain.

Constipation Risks Associated with a Fast-Food Diet

For a healthy digestive tract, dietary fiber contained in fruits and vegetables, as well as whole grain products like wheat and rice, is essential. They not only keep the digestive system functioning, but they also aid in the elimination of waste from the body. Fast food, on the other hand, is deficient in fiber and, as a result, is a poor choice for a healthy diet. As a consequence, constipation occurs, which produces pain in the stomach.

It increases the risk of liver disease

When you eat too much fast food, your liver is also harmed. Fast food intake causes liver disease, and if you believe that your stomach doesn’t have to endure the consequences, you are mistaken. There may be a bloated belly as a result of liver illness or liver damage, as well as swollen and/or bleeding veins surrounding the esophagus, the stomach, and the digestive process is disrupted.

Types of Hernia in Children

Each kind of hernia requires a special kind of medical attention. Some of these hernias in children are as follows.

• Epigastric Hernia

Epigastric Hernias occur when a part of the intestine or omentum bulges through the muscles of the abdomen between the chest and the belly button.

These hernias are usually small and appear with no particular symptoms except occasional pain. The large ones, however, cause symptoms, and they do not heal by themselves, but they can be treated with surgery.

• Umbilical Hernia

Umbilical Hernias occur when the part of the intestine or omentum bulges through the wall of the abdomen inside their belly button. It can appear as a bump underneath the belly button. It is not usually painful but sometimes it can cause serious problems if it becomes irreducible.

It usually closes by itself by the time the child turns two. If it does not go away, doctors will treat it with the help of surgery.

• Inguinal Hernia

Inguinal Hernias happen when the part of a child’s intestine or omentum pushes through the opening in the abdomen’s lower part. It is caused by the presence of a patent processes vaginalis. Inguinal hernias are notorious for causing serious complications must be promptly treated. Treatment is done with a surgery

Symptoms of Complicated Hernia in Children

• A round and full belly
• Vomiting
• Fussiness
• Soreness and belly pain
• Fever
• Discoloration and redness near the part of the hernia

Treatment Option

Inguinal, Umbilical, and Epigastric Hernias in children can be treated with surgery by Dr.Vishesh Dikshit at Umarji Mother and Child Care Hospital, Pune

Is Appendicitis Common?

Yes, appendicitis is a common cause of abdominal pain. Appendicitis can occur at any age, and mostly the teens are affected with inflammation in the Appendix.

 Cause of Appendicitis

Till date, it is hard to find the exact reason for Appendicitis. Inflammation in the Appendix may occur due to specific reasons that are not entirely clear until now. Well, still, some causes for Appendicitis are mentioned below:

• Injury to the abdomen
• Obstruction (mainly due to stool particles) at the opening where the Appendix is connected to the large intestine.
• Infection in the digestive tract.
• Inflammatory bowel disease.
• Some excess growth is in the Appendix.

 Symptoms of Appendicitis

Every parent needs to know the symptoms that their kids can show if they suffer from Appendicitis. They can present with abdominal pain, swollen belly, vomiting, constipation, diarrhea, loss of appetite and fever.

 How to Diagnose?

Doctors will use the following diagnostic process to understand your kids’ situation.

• Doctors will conduct a physical examination by applying gentle pressure on the abdomen.
• The doctors may opt for a blood test, which will reveal the infection. Sometimes a urine test may also need to be done.
• An ultrasound will mostly reveal the condition but sometimes an CT scan may also be needed. An Xray of the abdomen may be done reveal other conditions.

Treatment for Appendicitis

Appendicitis treatment usually involves surgery to remove the inflamed appendix. Before the surgery the child may be given a dose of antibiotics to treat infection. If your child has appendicitis, appendix will usually need to be removed as soon as possible. This operation is known as an appendicectomy or appendectomy and is usually done laparoscopically. Surgery is often also recommended if there’s a chance that your child has appendicitis but it’s not been possible to make a clear diagnosis.

Conclusion : 

If your child is suffering from Appendicitis or any other Pediatric Surgical problem, contact Dr. Vishesh Dikshit for a consultation.

Some conditions which can be treated with Neonatal Laparoscopic Surgery are :

• Mesentric cysts.
• Ovarian cysts.
• Idiopathic Hypertrophic Pyloric Stenosis.
• Annular pancreas.
• Intestinal blockages.
• Esophageal atresia.
• Congenital diaphragmatic hernia.
• Hirschsprung’s disease.
• Lung tumors and lesions.
• Tracheoesophageal fistula.
• Necrotizing enterocolitis.

Conditions for Neonatal Laparoscopic Surgery

Every surgery is different. It depends on the specific condition, procedure and the age of the child. During a neonatal laparoscopic surgery –

• A doctor will give anesthesia to the child. They will remain asleep at the time of the procedure and they do not feel pain.
• The surgical team will make small keyhole like incisions instead of an open and large incision.
• They will then insert a camera or a miniature instrument into the incision.
• The performance of surgery is visualized on a monitor to see detailed and high-resolution images of the operating site.
• After the surgery the instruments are removed and the incisions are closed.
• After the procedure is done, your child will be transferred to a recovery unit.

Advantages of Neonatal Laparoscopic Surgery

Neonatal laparoscopic surgery is minimally invasive. Benefits consist of little to no scars, shorter recovery time and less pain. Also there is less chance of wound infection.

Dr. Vishesh Dikshit will help if your baby needs neonatal laparoscopic surgery. He is adept in the art of performing minimally invasive surgery, Thoracic and Thoracoscopic surgeries, Laparotomy and Laparoscopic surgeries, Minimal Access Urinary Stone Management etc. Book your appointment today with Dr. Vishesh Dikshit for any queries about your child’s condition.