Common Conditions in Pediatric Surgery

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Common Conditions in Pediatric Surgery

  1. Inability to retract the preputial skin on the glans.
  2. A common condition, which may require surgical correction in children.
  3. Need to operate if painful passage of urine or recurrent infection of skin.
  4. Treatment: Circumcision or preputioplasty.


  1. Urinary opening on undersurface of the penis.
  2. Surgical correction preferably completed before 2 yrs age and may be started at 1 or 1½ yrs.

UTI (Urinary Tract Infections)

  1. Manifests as painful passage of urine/ fever/ excessive crying / non-specific.
  2. Responsible for a various complications of kidneys in older ages. Many cases of chronic renal failure have a past history of recurrent UTI.
  3. Can lead to kidney damage.
  4. 40% of UTIs have surgically correctable cause:
  5. Obstruction at the bladder outlet
  6. Obstruction of either kidneys
  7. Vesico-ureteric reflux (VUR)

Inguinal Hernia

  1. Occurs in Boys and Girls
  2. Swelling in groin, which comes and goes
  3. Commonest problem in children
  4. Surgery is the cure

Undescended Testis

  1. When Testis does not come down into the scrotum
  2. Operation is a must
  3. Why?
  4. Possibility of damage to testis and cancer
  5. Operation
  6. Day care
  7. Laparoscopy useful in some cases

Cleft Lip & Palate

  1. Common Problem
  2. Advantages of Surgery
  3. Good cosmesis
  4. Improved speech
  5. Feeding problems avoided
  6. When to do surgery?
  7. Cleft Lip -when child is 3 to 6 months old
  8. Cleft Palate- when child is 9 to 12 months old


  1. Swelling of Kidney due to extra fluids in the kidney
  2. May be detected before or after birth
  3. Various causes
  4. Consult a pediatric surgeon as some cases need early surgery to avoid long term damage to kidney.
  5. Laparoscopic surgery possible

Bleeding in Stool

Must be evaluated by specialist


  1. Fissure in Ano
  2. Rectal Polyp
  3. Meckel’s Diverticulum
  4. Intussusception
  5. Severe gastroenteritis
  6. Peptic Ulcer

Rectal Polyp

  1. Common in the age group of 3-6 years
  2. Something comes out from the anus
  3. Child passes fresh blood in drops at the time of passing stools
  4. Polyp maybe felt with finger examination – Usually single
  5. Needs to be removed surgically


  1. Something coming out from the anus
  2. May be associated with bleeding
  3. Predisposing factors
  4. Constipation
  5. Loose motions
  6. Severe cough


  1. Of the predisposing factors
  2. Submucosal injections – usually curative.
  3. Surgery is required in very rare cases – may be done laparoscopically
  4. Constipation
  5. Loose motions
  6. Severe cough