The practice treats a wide range of abdominal conditions in infants and children, including:

• Disorders of the Umbilicus

• Congenital Defects of the Abdominal Wall

• Inguinal Hernias and Hydroceles

• Undescended Testis, Torsion, Varicocele

• Hypertrophic Pyloric Stenosis

• Peptic Ulcer and Other Conditions of the Stomach

• Duodenal Atresia and Stenosis, Annular Pancreas

• Jejunal Atresia and Stenosis

• Meconium Ileus

• Meckel Diverticulum

• Intussusception

• Disorders of Intestinal Rotation and Fixation (Malrotation)

• Intestinal Obstruction

• Short Bowel Syndrome

• Gastrointestinal Bleeding

• Alimentary Tract Duplications

• Mesenteric and Omental Cysts

• Ascites

• Polypoid Disease of the Gastrointestinal Tract

• Necrotizing Enterocolitis

• Crohn’s Disease and Ulcerative Colitis

• Primary Peritonitis

• Stoma of the Small and Large Intestine

• Atresia, Stenosis and Other Obstructions of the Colon

• Appendicitis

• Hirschsprung Disease

• Intestinal Dysganglionosis and other Disorders of Intestinal Motility

• Anorectal Malformations

• Other Disorders of the Anus and Rectum

• The Jaundiced Infant: Biliary Atresis

• Choledochal Cyst

• Gallbladder Disease and Hepatic Infections

• Portal Hypertension

• Pancreas and Spleen conditions

2.2. 2. Appendicitis is the painful swelling and infection of the appendix. It is the most common cause of emergency surgery in childhood. If the appendix ruptures, it can be life-threatening.

Symptoms:

• Sudden pain around the belly button that moves to the lower right abdomen.

• Pain worsens with movement, deep breaths, coughing, or sneezing.

• Nausea, vomiting, and loss of appetite.

• Fever and chills.

Surgical Methods:
1. Open method: An incision is made in the lower right abdomen to find and remove the appendix.

2. Laparoscopic method: Uses several small incisions and a camera (laparoscope). This is the preferred minimally invasive method if the appendix has not ruptured.

• Abnormalities of the Female Genital Tract

(Note: For common male genito-urinary conditions like Circumcision and Undescended Testes, please see their specific pages).

Comprehensive surgical care for pediatric oncological conditions:

• Wilm’s Tumor

• Neuroblastoma

• Teratomas and Other Germ Cell Tumors

• Liver Tumors

• Gastrointestinal Tumors

• Soft Tissue Tumors

• Rhabdomyosarcoma

• Hodgkin and Non-Hodgkin Lymphomas

• Ovarian Tumors

• Testicular Tumors (Joint Venture with Urologist)

• Adrenal Tumors

• Tumors of Lung and Chest Wall (Joint Venture with Cardiothoracic Surgeon)

• Salivary Gland Problems

• Lymph Node Disorders

• Neck Cysts and Sinuses (Branchial Cleft Anomalies)

• Pre-auricular Skin Tags

• Torticollis

This is a condition where one or both testicles have not moved into the scrotum. It affects 1–2% of male infants and is more common in premature babies.

• • Symptoms: One or both testicles appear missing or cannot be felt. The scrotum may look small or lopsided.

  • Treatment: If the testicle does not descend on its own within 6 months, surgery (orchiopexy) is required.

  • Why it matters: Proper placement in the scrotum is necessary for future fertility and early detection of abnormalities later in life. Surgery is often done via laparoscopy.

Hirschsprung’s disease (congenital aganglionic megacolon) occurs when intestinal nerve cells (ganglion cells) don’t develop properly, delaying the progression of stool through the intestines. The intestine becomes blocked, leading to constipation. A serious infection called enterocolitis can occur, causing fever, pain, and diarrhea.

Symptoms in Infants:

• Failure to have a bowel movement in the first 48 hours of life

• Abdominal distention (bloating)

• Gradual onset of vomiting

• Fever and constipation

Symptoms in Older Children:

• Constipation that worsens over time

• Loss of appetite and delayed growth

• Passing small, watery stools

Causes: Genetic factors may be involved. It occurs five times more frequently in boys and is more common in children with Down syndrome.