A 7 month male child presented with vomiting since 1 month of age. Ultrasonography revealed gallstones at that tender age (1month). Serial follow-up sonograms showed gradually increasing number and size of the stones with persistent vomiting (non bilious). The baby underwent upper Gastrointestinal contrast study which ruled out gastro-esophageal reflux as well as malrotation. He was also prescribed oral ursodeoxycolic acid since he was 4 months old but there was no diminution in the number or the size of the gallstones.
These are pictures of X-ray of a 10 months baby who had swallowed a 50 paise coin which got stuck in the throat. I did an esophagoscopy and brought out the coin.
What is minimal access surgery?
Nowdays, in newborn, infants and children, we make very small incision 2-5 mm and insert very fine instruments to perform operations under magnified vision. This is called minimal access or minimally invasive surgery. Previously such operations were done by opening the abdomen or the chest. Any abdominal operation done in this technique is called laparoscopic surgery, and any thoracic surgery is called thoracoscopic surgery.
CHILDREN ARE NOT JUST YOUNG ADULTS. When we have a physical problem, we complain. But what can a newborn do? It may cry inconsolably, or it may even become silent. A toddler may just fail to thrive or refuse to have food. It is an intriguing world. A Pediatric Surgeon has to diagnose the illness through subtle symptoms and signs.