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.

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.

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.

A brief on pediatric laparoscopic surgery:

Even though laparoscopic or minimal access surgery has been around for many years, its use in children has gained popularity in the last decade or two. Laparoscopic surgery has immense benefits over conventional open surgery. In this technique very small incisions are made on the abdomen of the child through which a scope and instruments are inserted and the surgery performed by the surgeon who sees everything on a screen. Cutting of the abdominal muscles is avoided which leads to much faster recovery and freedom from a big ugly scar. Moreover, the visualization of the internal organs is much better because of magnification and HD vision.

Benefits:

-Children need to stay in the hospital for a shorter time. Many-a-times they can go home on the same day.

– Faster recovery time.

– Less pain and lesser infection leading to less medications to be used.

– No ugly looking scars.

Some conditions where laparoscopic surgery can be used:

Ideally speaking any intra-abdominal or intra-thoracic surgery can be tackled via the minimal access route.

A few examples are:

-Appendix removal

– Gall bladder removal

– Surgeries on the liver, spleen and kidneys

– Surgeries for Ano-rectal malformation

– Complex urinary reconstructive surgeries

– Surgeries for tumors

Pediatric Laparoscopy Surgery allows the doctor to see what is happening in your child’s body & treat certain conditions. If you’re searching for Pediatric Laproscopic Surgeon in Pune, Consult with Dr. Vishesh Dikshit expertise in laparoscopic surgery for children.