The survival rate of our patients with Omphalocele and Gastroschisis has gradually improved with the latest treatment modalities available in the hospital. My personal goal is to achieve closure of the defect with the lowest morbidity, mortality and shorten the lengthy hospitalization.
A child with an undescended testis should be operated at the earliest (<1 yr.) to prevent testicular damage. Nonpalpable undescended testis should be brought down laproscopically. I am a fully trained laproscopic surgeon at Canada/USA and since then performed highly successful laproscopic surgeries at all levels.
Atresia may occur at any level. Number & distribution of dilated bowel loops will, therefore, vary & an idea about the site of obstruction can be inferred from it. Over the years, I have mastered the art of anastomosis in newborn patients.
All types of intestinal obstruction are treated with very good results provided the patients are referred early. During my tenure, I have seen all kinds of complications related to intestinal obstructions and treated with very high success rate.
Traditionally, three stage surgery was done but in our set up; we have started single stage surgery (Laproscopic or Endorectal) without the need for colostomy. Till now, more than 100 patients were benefited.
At our hospital, we run Anorectal Malformation clinic for male children with high/low anomalies and female children with vaginal/vestibular fistula's. Again single stage surgery is recommended for majority of anomalies without colostomy.