Pediatric Surgery Children Hospital Lahore

28/06/2023

Spot diagnosis??

28/10/2022

Friday alert 🚨:

When doing a Ladd’s procedure in a patient with Anorectal Malformation, Hirschsprung disease, myelomeningocele, or abnormal sacrum (sacral ratio < 0.4), please do not remove the appendix.
It can be used in the future for a Malone or Mitrofanoff.

18/10/2022

Here is our advice: ALWAYS look at the sacrum on abdominal radiographs.
Are you operating on a baby with esophageal atresia? Are you seeing the baby because of hydronephrosis and vesico-ureteral reflux? Are you seeing a patient because of constipation?
With any of the above and this sacrum, you MUST suspect anorectal malformation (recto-perineal fistula or a**l stenosis), if no absent a**l opening.
More is missed for not looking than for not knowing it.
Together we can Improve Colorectal Care Everywhere for Everyone!

01/07/2022

Surgery point

Some baby boys have er****on that can be seen while changing diapers. If er****ons have been seen before the repair of the anorectal malformation (PSARP), they should also be seen after the repair.

01/02/2022

Pearl of the century 🙂

Dr. Peña’ pearl of the month: “It doesn’t matter how knowledgeable and intelligent a doctor is. What is important is how much of this talent and knowledge are going to be dedicated to the patient care.”

08/01/2022

Hurry up everyone

You can now register to the 2022 Peña Course. Registration is free but required.

https://ce.childrenscolorado.org/content/pe%C3%B1a-course-66th-workshop-surgical-treatment-colorectal-problems-children

07/01/2022

https://www.facebook.com/100063616591694/posts/328832595913958/
Pearl's of Wisdom

Why do we recommend children with total colonic aganglionosis to wait to have their pull-through only after they are toilet trained for urine?
Connecting the small bowel to the anus/rectum will invariably cause a lot of bowel movements because the small bowel has fast motility. If the child is toilet trained for urine, he/she knows how to make it to the toilet. Even when in the beginning this means several trips to the bathroom, the patient will not suffer from diaper rash and bowel movements will decrease over time to 4-6x/day.
If we do the pull-through very early, babies do not have bowel control, and he/she will have several bowel movements in the diaper, causing severe and painful diaper rash.
Together we can Improve Colorectal Care Everywhere for Everyone!

16/12/2021

Kindly Review this Page. Thanks

01/12/2021

Pearl of Wisdom
https://www.facebook.com/100063616591694/posts/304679871662564/

A quick reminder that during the first 24 hours of life of babies with Anorectal Malformations, the pediatric surgeon has the obligation to rule out associated anomalies, before deciding about any operation.

✅ echocardiogram
✅ babygram (x-Ray of the body)
✅ kidney ultrasound
✅ spinal ultrasound
✅ sacral radiograph AP and lateral
✅ pelvic ultrasound in babies with cloaca

19/10/2021

Team Pediatric Surgery at Surgicon 2021
Our resident Salman Saleem got 1st prize and Dr Anum got 2nd. congratulations to them.

29/09/2021

Spot diagnosis Residents?