Paediatric Surgery

 

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Inguinal Hernia – a condition where there is an abnormal connection between the abdominal cavity and the groin. In children these usually need to be repaired fairly urgently.

Hydroceles – All baby boys have a connection between their scrotum and their abdomen which allows their testes to descend. If this remains open fluid can collect in the scrotum making it swollen and blue.

Phimosis – This is a condition where the foreskin is too tight. Circumcision is not usually required but may be in some situations.

Circumcision  – most children don’t need a circumcision but occasionally the foreskin becomes scarred and fissured. If the foreskin is scarred then in some circumstances a circumcision is required. This is a day case procedure and boys usually bounce back and recover quite quickly.
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Newborn Circumcision – This may be required for cultural or religious reasons. click here for info

Undescended Testes – This is a condition in which the testicles fail to descend normally into the scrotum. An operation called an Orchidopexy is usually required for this. click here for info

Abdominal pain – Pain in the abdomen has a wide variety of causes and may be sudden in onset or have lasted a long time. Some cases will require surgery (for e.g. Acute appendicitis click here for info) but the vast majority do not.

Tongue tie – This is a very common condition where the tongue is tethered to the floor of the mouth by a cord or frenulum. The vast majority of these need no treatment and may stretch over time. There is good evidence that when there are breastfeeding difficulties, dividing the tongue-tie is of significant benefit. click here for info

Lumps and Bumps – Children often present with lumps on various parts of the body. The vast majority of these are completely benign although sometimes they are not. Lumps do need to be assessed and sometimes investigated further and removed. click here for info

Solid Tumours of Childhood – Unfortunately, children can develop tumours but the treatments are getting better and better all the time. A team made up of several specialists is vital to successful care.

Chest deformities – These are commonly known as Pectus deformities. These can be corrected with bracing or with minimally invasive surgery.

Gastro – oesophageal reflux – In this condition, the junction between the stomach and the Oesophagus is weak allowing food to regurgitate back up the oesophagus. This may cause vomiting, failure to thrive and possibly chest infections. Surgery is rarely required and most can be managed with medication. click here for info

Hirschsprung’s Disease (HD) – Hirschsprungs disease is a condition in which babies are born with the nerve supply to part of their intestine, usually the large bowel is missing. The affected part of the bowel is therefore paralised and unable to contract to propel the food contents through. Babies usually present in the newborn period, unable to open their bowels and with a distended abdomen and vomiting. The diagnosis is made by means of a rectal biopsy. Corrective surgery is required by a variety of pull through procedures such as the Soave or Duhamel operation. click here for info

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