top of page
Duplex kidney with obstructed, non functioning upper moiety and refluxing lower moiety in a child
Duplex with obstructed non functioning upper moiety and refluxing lower moiety – Approach can be Upper tract approach Lower tract approach Combined upper and lower tract approach Staged upper and lower tract approach We report a case in which we preferred staged approach
Laparoscopic adrenal preserving surgery for Pediatric adrenal cyst-a case report
Adrenal cysts are very rare , especially in children. Most of them are incidentally diagnosed. Controversy in Pediatric population include need of hormonal workup, whether Conservative or operative and If operative, adrenalectomy or adrenal preserving surgery? We describe one child with adrenal cyst and its management. It included the clinical details, short literature review and operative video.The HPE suggested endothelial cyst.
Stage 2 of Two stage Fowler-Stephens orchiopexy for intraabdominal testes
This video describes management of a small girl with left single system ectopic ureter with Pyonephrosis. She was initially treated by diversion ( end ureterostomy) for Pyonephrosis and then she underwent cardiac surgery. After one year of diversion, her renal function did not improved and she needed Laparoscopic Left Nephroureterectomy. This video describes steps of surgery along with initial Cystoscopy and RGP findings.
Total Urogenital Sinus Mobilization(TUM) for common Cloaca
This video demonstrates Right Laparoscopic upper pole nephroureterectomy in an infant by Dr Shandip sinha, Pediatric Surgeon, Pediatric Urologist and Pediatric Laparoscopic Surgeon. Duplex kidney literally means that the child has a double kidney on one side or very rarely both sides. The double section is usually limited to the part of the kidney where the urine collects (the collecting system or renal pelvis), before the urine passes down the bladder via the ureter. However, in some cases there is also duplication of the ureter . This can be a partial duplication (so the ureter is a ‘Y’ shape) or there may be a completely separate extra ureter.The limited duplex kidney (where only the collecting system is double) is usually an incidental finding and rarely causes problems. The more extensive duplication, however, does often cause problems and can typically mean a child is more prone to urine infections. Also the extra ureter can insert into the bladder in an abnormal place or even in the urethra (the tube leading from the bladder to the outside), causing constant urinary dribbling.The duplicated part of the kidney drained by that ureter has often not developed normally (it is known as ‘dysplastic‘) and thus has poor function. This video describes one of these infant, who had poorly functioning upper moiety on right side and needed Laparoscopic Nephroureterectomy
Laparoscopic upper moiety nephrectomy with partial ureterectomy by Dr Shandip Sinha
This Video Describes approach to diagnosis and treatment of Bilateral Single System Orthotopic Ureterocele in an Infant. Important points highlighted are 1. Ureterocele are visible when the bladder is half full and appear as filling defect. They disappear when the bladder is full as shown during cystoscopy. So it is important to take films during partially filled bladder during MCU. 2. Transverse incision at base is described as one of the methods of incision, apart from creating Multiple holes in ureterocele. However, appearance of reflux is possibility with all the methods used. 3. Follow up is important and few of the children needs further intervention.
Pediatric laparoscopic pyelolithotomy
Diagnosis of a vanishing testis requires documentation of blind-ending spermatic vessels in the abdomen, inguinal canal, or scrotum.Blind ending vas is often associated, but is non diagnostic as it can be seen with an intra abdominal testes.This case emphasises this important distinction, which we surgeons should have in mind. Vessel Intact Laparoscopic Orchidopexy (VILO) was done
Pediatric Laparoscopic and Gastrointestinal Surgery
Pediatric Gastrointestinal Surgery