KING EDWARD MEMORIAL HOSPITAL

Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435

Department of Paediatric Surgery

Background History

The Department of Paediatric Surgery was established in 1967. In 1972, the University of Bombay instituted M.Ch. in Paediatric Surgery and the department was recognised for postgraduate training. The next important landmark was the establishment of separate neonatal and paediatric surgical intensive care unit in 1976.

Introduction

“Children are not just small adults but have medical and surgical problems and needs that are often quite different from those encountered by adult physicians. Infants and children deserve the very best medical care available. Every infant and child who suffers from an illness or disease has the right to be treated in an environment devoted to their care by a paediatric medical and surgical specialist.

Paediatric Surgeons are specially trained physicians with extensive experience and expertise in treating infants and children of all ages (from birth through adolescence) with surgical disorders. Because of their unique training, paediatric surgical specialties provide a wide range of treatment options and the highest quality care to children”.

The department of Paediatric Surgery at this institution was started in 1967 and has developed rapidly in a short span of time. It is staffed by two full time professors, one associate professor and one full time lecturer – ably supported by post-M.S. Registrars (registered for M. Ch. University Course for Paediatric Surgery).

Sections Units Branches

Staff

FACULTY:

Dr. Sandesh V. Parelkar 
M.S.(General Surgery); M.Ch.(Paediatric Surgery)
Professor & Head

Dr. Beejal Sanghvi
MS MCh (Ped surg) DNB (Ped surg)
Professor.

Dr. Rahulkumar Gupta
M.Ch Pediatric Surgery
Associate Professor

Dr. Kedar Mudkhedkar

M.Ch Pediatric Surgery

Assistant Professor

 

Name

 

Designation

Date of Joining

 

MMC Registration
As faculty As current designation
 

Dr. Sandesh V. Parelkar

Professor and Head

( Teacher )

 

 

10-12-2004

 

08-12-2005

 

61788

 

Dr. Beejal V. Sanghvi

Professor

( Teacher )

 

 

24-12-2003

24-12-2012  

83987

 

Dr. Rahulkumar Gupta

Associate Professor

( Teacher )

 

 

08-12-2008

 

26-11-2014

 

3845

 

Dr. Kedar P. Mudkhedkar

 

Assistant Professor

 

 

20-08-2015

 

20-08-2015

 

1191

Postgraduate students :

Dr. Pooja Tiwari-              SR III

Dr. Sonali Mane                SR III

Dr. Kavimozhy Illakiya-   SR II

Dr. Mohit Rawat-              SR I

Dr. Manish Khobraghade- SR I

Dr. Rujuta Shah-               S.S.M.O

Dr. Ashutosh Sharma-       SRI

Facilities, Equipments & Special services

SERVICES PROVIDED

The department of Paediatric Surgery has a ward with a capacity of 50 beds – including an eight-bed intensive care unit and a dedicated operation theatre complex with an endoscopy room. The department deals with a wide spectrum of cases below the age of twelve years.

Both emergency and elective cases are seen; the referrals being from private practitioners, school health clinics, outpatient clinics, peripheral primary and secondary health care centres and from the Departments of Paediatrics and Neonatology. Regional patients form neighbouring states are also treated in the department.

The department provides emergency services daily with residents  available on the floor round the clock. The department runs out patient clinics twice a week on Tuesday and Thursday at 1:30pm in OPD 11 on the ground floor Multistory Building. Every Thursday at 2.30 pm, a speciality multi-disciplinary Birth defect Clinic has been started , where couples with antenatal scan showing anomalies are jointly counseled.

The department runs two operation theatres five days a week. The total surgeries performed annually are about 2000; 800 of which are major operations. Routine upper G. I. Endoscopies, bronchoscopies and cystoscopies are done regularly.

Division of Paediatric Surgery covers a wide area of work namely :

  1. General Paediatric Surgery
    This includes problems such as hernias, uro-genital lesions, lumps and bumps, head and neck lesions, haemangioma, lymphangioma, cystic hygroma and perianal conditions.
  2. Neonatal Surgery
    Expectant mothers with babies with congenital anomalies are seen together with the obstetrician doing the ultrasound assessments and their management planned. Gastro-intestinal, abdominal wall defects, diaphragmatic hernias, lung cysts and malformations, teratomas (sacroccygeal, mediastinal, pharyngeal and cervical) and renal anomalies are among conditions diagnosed and managed.
  3. Urology
    Paediatric urology makes up about 30% of the work of the division. Nephrectomies, nephro-ureterectomies and partial nephrectomies are carried out. Pyeloplasties, hypospadias repair, undescended testis, neurogenic bladder and vesico-ureteric reflux are common urologic conditions seen. A complete set of cystoscopes is available from newborn till adolescent age.
  4. Hepato-biliary and Gastrointestinal Surgery
    Biliary atresia and choledochal cyst are common hepato-biliary conditions seen in the division. Liver tumours, though uncommon, are managed together with Paediatric oncologist. Pancreatic illnesses such as acute and chronic pancreatitis and pancreatic tumours are also treated. All small and large bowel atresias, obstructions and intussusceptions are managed. Upper GI endoscopy through flexible OGDscope with retrieval of foreign bodies, esophageal dilatation is also done.
  5. Thoracic Surgery
    All extra cardiac thoracic lesions in the neonates are followed up from antenatal diagnosis to post-natal surgery by the division. The commonest of the conditions managed are empyema, lung cyst, cystic adenomatoid malformation of the lungs, pulmonary sequestration and congenital lobar emphysema. Intra thoracic tumours, lung bulae with recurrent pneumothorax, esophageal atresia and fistula are also dealt with.
  6. Surgical Oncology
    Wilms’ tumour, neuroblastoma, hepatoblastoma, sacrococcygeal and other teratomas and mediastinal tumours are managed jointly with Medical Paediatric Oncology at Tata Memorial Hospital.
  7. Minimally invasive surgeries
    Both diagnostic & therapeutic laparoscopies and thoracoscopies are performed regularly. In ther last 11 years, 1852 laparoscopic and thoracoscopic procedures have been conducted. The department has recently acquired 3 – D laparoscope, a first in MCGM Hospitals.
  8. Birth Defect Clinic

Every Thursday at 2.30 pm a speciality Birth defect Clinic is conducted; where all children with any congenital anomaly, pregnant          ladies with antenatal USG showing fetus with congenital anomalies, ladies with bad obstetric history and also couples with family          history of birth defect are seen in the clinic. The specialists   from respective speciality have a joint consultation, outline                            management plan and   counsel the children alongwith their families in this clinic. More than 300 families have attended the                  clinic.The clinic is conducted every Thursday afternoon at 2.30 pm in the Board Room, Department of Paediatric Surgery, 3rd                 Floor, Old building, Gynecology Wing, K.E.M. Hospital.

  1. Sophisticated post-surgical ICU:

The special 8 bedded ICU provides much needed postoperative care to neonates, infants and children who need ventilation                     and/or ICU care. The department possesses a high frequency oscillatory ventilator system for ventilation of newborn children                 with congenital diaphragmatic hernia and pulmonary hypertension and adequate warmers and multipara monitors.

TRAINING FACILITIES

The department runs a superspecialty M. Ch. course in Paediatric Surgery for which post-MS or post-DNB General Surgery candidates are enrolled every year (recognized by Medical Council of India (MCI) and Maharashtra University Of Health sciences[MUHS]). The department undertakes teaching of undergraduate and postgraduate students. A specialised paediatric surgical and general nurses’ training is also undertaken.
The department has a well equipped library with all standard reference books, video cassettes, ebooks and slides. Journal Club is regularly conducted.
The department has an independent seminar hall and conducts regular clinical meetings, which are attended by surgeons from many hospitals in Mumbai.
Research work carried out by the department includes publication and analysis of rare case reports and other articles in international journals.
We have started fellowship in minimal access surgery in pediatric surgery, a 1-year course recognised by MUHS, for 2 candidates per year post M. Ch or DNB in pediatric surgery. Till date, 6 fellows have already been trained; 2 further are undergoing their fellowship.

Other

FUTURE DIRECTIVES

The department of Paediatric surgery at Seth G S Medical College and K. E. M. Hospital over the years has achieved a high degree of sophistication under the ever watchful eyes of Dr. S.V.Parelkar (Professor and Head) and his team. This is mainly based on

  • Maturation of techniques of repair
  • Refinement of neonatal care in general (Paediatric anaesthesia, Neonatology, Radiology).
  • Deeper understanding of neonates physiology and special needs.
  • Advances in minimal access surgery

Training of pediatric surgeons in minimal invasive surgery through the MUHS conducted fellowship. Advanced laparoscopic and thoracoscopic surgeries will be aided by latest acquisition of 3 – D Laparoscope.

TOWARDS A MINIMALLY INVASIVE MILLENIUM:

There has been a changing trend in the field of Paediatric surgery with Minimally Invasive Surgery playing a bigger role in the management of surgery of children. Instrumentation is improving and also the skills need to be acquired and augmented to enable safe surgery through a laparoscope in smaller babies, even neonates.

Both thoracic and abdominal ailments are being treated by minimal invasive surgery and a wide range of basic and advanced surgical procedures are being carried out from newboens till 12 years age.

FOETUS AS A PATIENT:

“NEW ERA” of widespread screening of the unborn child by ultrasound (USG) with planned intrauterine, intrapartum and immediate postpartum interventions. With the development of sophisticated ultrasonographic imaging and fetal sampling techniques, a growing number of fetal disorders are amenable to surgical manipulation. This is undertaken at a very few selective centres.

ROBOTIC SURGERY:

With the widespread availability of robotic surgical systems, it is natural for advanced paediatric surgical reconstructive surgeries to be carried out by using such systems. The department plans to procure a robot for all such procedures which will greatly benefit these children.

CURRENT ACTIVITIES:

The department has performed bilateral Laparoscopic cortex sparing adrenelectomy for pheochromocytoma with von-Hippel-Lindau syndrome in 10yr boy.Aim was to save the adrenal cortex and avoid addisonian state in the child .

Laparosocpic management of retrocaval ureter with uretero – ureteric anastomosis. Normally this surgery would need a large vertical midline incision.

Whipples pancreatico duodenonectomy with bilateral adrenelectomy for pancreatric neruro ectodermal tumor with bilateral phaeochromocytoma

New Picture               New Picture (1)

Distal splenorenal shunt for portal hypertension.

The department has recently successfully performed a laparoscopic partial splenectomy in a 10 year girl with a benign splenic cyst. clinically a mobile lump in the LHC 10x8cm was palpable. USG and CT were suggestive of a splenic cyst with peripheral calcification arising from the lower pole. Laparoscopy was done under GA in supine position with 4 ports. the lower polar vessels were clipped and a good line of demarcation had formed. We then used the harmonic scalpel to divide the spleen along the line of demarcation and removed the specimen through  a small pfannensteil incision. The histopathology came as epidermoid cyst. Patient had an uneventful recovery.

The department has successfully performed thoracoscopic repairs of congenital diaphragmatic hernia and eventration of diaphragm.The youngest child was 15 days old and the oldest 1.5 years.

“SIMPL” Nephrectomy

 

We have recently done a retroperitoneoscopic nephrectomy for a non-functioning kidney secondary to pelvi-ureteric obstruction in a six-year-old boy. It was done with the patient in the prone position with only 2 ports – one for the camera and the other for the instrument port. This is a relatively new technique, SIMPL stands for Single Instrument Port Laparoscopy. Thus the entire procedure is done through only one working port and there are only 2 small incisions on the back.

CONTACT

Department of Paediatric Surgery
Seth G.S.Medical College & K.E.M.Hospital, Parel,
Mumbai-400 012, Maharashtra India.
Tel: 0091-22-2413 6051 Ext:2220
Fax:0091-22-2414 3435
Email : websitecontact@kem.edu

Bai Jerbai Wadia Hospital for Children

Department of Pediatric Surgery

Faculty:

Dr. Susmita Bhatnagar-         Professor

Dr. Pradnya Bendre-              Professor

Dr. Suyodhan Reddy-            Additional Professor

Dr. Parag Karkera-                Associate Professor

Dr. Flavia Dsouza-                Assistant Professor

Dr. Gayatri Munghate-         Assistant Professor

 

Name

 

Designation

Date of Joining

 

MMC Registration
As faculty As current designation
 

Dr. Susmita Bhatnagar

Professor (Teacher )

 

January 2001 20/07/2011 66375
 

Dr. Pradnya Bendre

Professor

( Teacher )

 

14.06.2003 17/9/2012 61920
 

Dr. Suyodhan Reddy

Additional Professor

( Teacher )

 

01.01.2013 01.01.2016 81943
 

Dr. Parag Karkera

 

Associate Professor

 

01.04.2013 19..05.2016 2003031514
Dr. Flavia Dsouza Assistant Professor 03.07.2015 03.07.2015 2006042328
Dr. Gayatri Munghate Assistant Professor 20.05.2016 20.05.2016 2000031553

Postgraduate students:

Dr. Amol Nage – Post Mch Registrar

Dr. Uttam Rawate – SR II

Dr. Praveen Raju – Jr Reg

Dr. Ajraj Mishra- Jr Reg

Sr.No. Date Case

 

Presented by Teaching faculty
01/06/2017 Biliary Atresia Dr.Kavimozhi Illakiya Dr SVP, Dr BVS,

Dr RKG, Dr KPM

02/06/2017 Pelvi-ureteric junction

 

Dr. Manish Khobragade Dr SVP, Dr BVS,

Dr RKG, Dr KPM

 

03/06/2017 Embryology & Surgical anatomy of esophagus

 

Dr.Kavimozhi Illakiya Dr SVP, Dr BVS,

Dr RKG, Dr KPM

05/06/2017 Epidemiology, Clinical features & diagnosis of Tracheo Esophageal fistula Dr. Manish Khobragade Dr SVP, Dr BVS,

Dr RKG, Dr KPM

10/06/2017 Management of Tracheo-esophageal fistula Dr.Kavimozhi Illakiya Dr SVP, Dr BVS,

Dr RKG, Dr KPM

12/06/2017 Esophageal perforation and strictures

 

Dr.Sonali Mane Dr SVP, Dr BVS,

Dr RKG, Dr KPM

14/06/2017 Gastro Esophageal Reflux Disease: Clinical features & investigations

 

Dr.Pooja Tiwari Dr SVP, Dr BVS,

Dr RKG, Dr KPM

17/06/2017 Gastro Esophageal Reflux Disease: Etiology & pathogenesis.

 

Dr.Kavimozhi Illakiya Dr SVP, Dr BVS,

Dr RKG, Dr KPM

19/06/2017 Esophageal replacement procedures

 

Dr.Kavimozhi Illakiya Dr SVP, Dr BVS,

Dr RKG, Dr KPM

21/06/2017 Unusual variants of Tracheo-esophageal fistula

 

Dr. Ashutosh Sharma Dr SVP, Dr BVS,

Dr RKG, Dr KPM

24/06/2017 Intestinal Obstruction

 

Dr. Ashutosh Sharma Dr SVP, Dr BVS,

Dr RKG, Dr KPM

28/06/2017 Wilm’s tumour Dr.Kavimozhi Illakiya Dr SVP, Dr BVS,

Dr RKG, Dr KPM

01/07/2017 Male ARM Dr. Rujuta Shah Dr SVP, Dr BVS,

Dr RKG, Dr KPM

03/07/2017 PU valve

 

Dr.Kavimozhi Illakiya Dr SVP, Dr BVS,

Dr RKG, Dr KPM

05/07/2017 Hirschprung’s disease Dr.Sonali Mane Dr SVP, Dr BVS,

Dr RKG, Dr KPM

07/07/2017 Female ARM

 

Dr.Pooja Tiwari Dr SVP, Dr BVS,

Dr RKG, Dr KPM

08/07/2017 Hydrocephalus

 

Dr.Sonali Mane Dr SVP, Dr BVS,

Dr RKG, Dr KPM

10/07/2017 Biliary atresia

 

Dr.Pooja Tiwari Dr SVP, Dr BVS,

Dr RKG, Dr KPM

11/07/2017 Lumbar MMC Dr.Sonali Mane Dr SVP, Dr BVS,

Dr RKG, Dr KPM

17/07/2017 Cystic hygroma neck

 

Dr.Pooja Tiwari Dr SVP, Dr BVS,

Dr RKG, Dr KPM

19/07/2017 Thyroglossal cyst

 

Dr.Sonali Mane Dr SVP, Dr BVS,

Dr RKG, Dr KPM

22/07/2017 Morrant Baker’s cyst

 

Dr.Pooja Tiwari Dr SVP, Dr BVS,

Dr RKG, Dr KPM

24/07/2017 Branchial sinus Dr. Manish Khobragade Dr SVP, Dr BVS,

Dr RKG, Dr KPM

28/07/2017 Male ARM

 

Dr.Sonali Mane Dr SVP, Dr BVS,

Dr RKG, Dr KPM

29/07/2017 Neuroblastoma

 

Dr. Rujuta Shah Dr SVP, Dr BVS,

Dr RKG, Dr KPM

31/07/2017 Hirschprung’s disease

 

Dr.Pooja Tiwari Dr SVP, Dr BVS,

Dr RKG, Dr KPM

 

 

Bai Jerbai Wadia Hospital for Children
Department of Pediatric Surgery

PRESENTER-YR CASES FACULTY
3 YR SNB Neuroblastom a SNB
3 RD YEAR PSB MALE ARM PSB
3 YR SNB FEMALE ARM PSB
3 RD YEAR PSB HIRSCHSPRUNGS DISE A S E PSB
3 YR SNB NEUROGENIC BLADDER SNB
3 RD YEAR PSB PU  VALVES SSB
3 YR SNB BLADDER EXTROPHY PSB
3 RD YEAR PSB HYPOSPADIAS SR
3 YR SNB DSD REGE
3 RD YEAR PSB DSD SARITA
3 YR SNB DSD PSB
3 RD YEAR PSB PUJ PSB
3 YR SNB NECK SWELLINGS PK
3 RD YEAR PSB UDT (PALPABLE) SR
3 YR SNB UDT (NON-PALPABLE) SR
3 RD YEAR PSB Wilms tumor SNB
3 YR SNB MMC SUYODHAN
3 RD YEAR PSB OBSTRUCTIVE JAUNDICE SNB
3 YR SNB HYDROCEPHALUS PARAG
3 RD YEAR PSB LUMPS & BUMPS (Cystic hygroma, thyroglossal cystbranchealsinus/HAEMANGIOMAS) PARAG
3 YR SNB HERNIA & PHIMOSIS PARAG
SEMINARS/SYMPOSIA/GUEST LECTURES/JOURNAL CLUB
SYMPOSIUM 2 YR SNB EXTROPHY BLADDER PSB
SYMPOSIUM 2 YR SNB Nano techanology SNB
SYMPOSIUM 2 RD YEAR PSB GER REDKAR/AMDEKAR SIR/JMK
SYMPOSIUM 2YR SNB Robotics SR
SYMPOSIUM 2 RD YEAR PSB ABDOMINAL WALL DEFECTS SNB
SYMPOSIUM 2YR SNB Tissue Engineering PARAG
SYMPOSIUM WITH JOURNAL 2 RD YEAR PSB VUR T/T & Controversies PSB/SARITA
SYMPOSIUM WITH JOURNAL 2 YR SNB Obstructing  Mega ureter PSB
SYMPOSIUM 2 RD YEAR PSB Lasers in pediatric surgery PARAG
SYMPOSIUM 2 YR SNB Nano technology PARAG
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 RD YEAR PSB Fetal  surgery/intervention SR/PK
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 YR SNB Recent adv. In diag.& T/T of neuroblastoma SNB/ARCHANA SWAMI
SYMPOSIUM WITH JOURNAL 2 RD YEAR PSB Controversies in management of enteric   nervous system disorders SARITA/PSB
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 YR SNB RENAL SCANS AVNISH SHARMA
OTHER ISOTOP SCASNS AVNISH SHARMA
SYMPOSIUM & JOURNAL 2 YR SNB CDH SUDHA/SURG
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 RD YEAR PSB MRI SAROJ CHAVAN
LECTURER-INTERACTIVE WITH CASE SCENARIOS CT SAROJ CHAVAN
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 YR SNB Ventilator-high frequency LAXMI
LECTURER-INTERACTIVE 2 RD YEAR PSB Fluid & Electrolyte & Anti-biotics LAXMI
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 YR SNB Fluid Mang.      ( IHPS Gastro schisis, Burns ) PARAG & LAXMI
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 RD YEAR PSB Bowel washes, enemas & dye studies DR NADKARNI
LECTURE INTERACTINE 2 YR SNB Jaundice IRA SHAH
LECTURE INTERACTIVE 2 RD YEAR PSB Neonatal Exam., Jaundice,  Photo therapy &Sclerema. SUDHA RAO/VAIDEHI
LECTURE INTERACTIVE 2 YR SNB Mang. Of Shock, Rescucitation in Neonates &Children,septic shock-PALS GUIDELINES Dr. ALPANA UTTURE/PALAH
SYMPOSIUM 2 RD YEAR PSB Stem cell therapy MUKESH DESAI
2YR SNB PersistantFoetal (.) &mang. Of Pulm. HTN Dr. S S PRABHU
LECTURER-INTERACTIVE WITH CASE SCENARIOS 2 RD YEAR PSB Mang. Of Raised  ICT/ Blocked Shunts Dr. BIYANI
Rescucation in trauma Dr.
INTERACTIVE LECTURE 2RD YEAR PSB ACID BASE BALANCE UMA ALI

 

1st Friday-case presentation2nd Friday –radiology meet/case presentation

3rd Friday –case presentation

4th Friday –case presentation

 1ST– Saturday- grand round,

2nd–Saturday- guest lecture

3rd–Saturday symposium,

4th–Saturday journal club

Resident –presenter is responsible for organization should contact coordinator 1 wk before activity .involved faculty or resident should contact coordinator if they need any adjustment.

Copies of journals to  be emailed to all 1 wk in advance.

Attendance is mandatory to residents.

Faculties are encouraged & appreciated for participation.

Location

Ward 3, 3ICU and Paediatric OT are all on the third floor Old Building, in the Gynaecology block, above the labour ward.

OPD is run on Tuesday and Thursday from 1:30 pm – 3:30 pm in OPD 11 on the ground floor Multistorey Building.

Contact Detail

CONTACT:

Department of Paediatric Surgery
Seth G.S.Medical College & K.E.M.Hospital, Parel,
Mumbai-400 012, Maharashtra India.
Tel: 0091-22-2413 6051 Ext:2220
Fax:0091-22-2414 3435
Email : websitecontact@kem.edu

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