Stone removed by the CMC team
Ludhiana, 6th March, 2013:(Shalu Arora and Rector Kathuria): A 3 year old girl child, daughter of a labourer was suffering, with continuous pain in the lower abdomen and urinary infection for past threemonths. She was referred to the Department of Paediatric Surgery CMC and Hospital Ludhiana for further management. Investigations revealed that there was a 2.5 cms. long and 1.5 cms. thick,stone which was completely obstructing the flow of urine from left kidney to urinary bladder and causing urinary infection and abdominal pain. Since there was no free flow of urine from kidney, there wasswelling and deterioration of kidney function with continuous abdominal pain.Dr William Bhatti Professor and Head, Department of Paediatric Surgery and his teamdoctors, Dr N Bedi, Dr A Gupta and Dr S Dhuria, successfully performed laparoscopic removal of stone from the ureter. Theparents are happy as their daughter does not have a big operative scar on her abdomen and she is pain free because of the laparoscopic surgery. This type of operation, where the impacted stone at lower ureterovesical junction in a 3 year old child,was removed by laparoscopic operationis the first to be performed in India. So far this type of surgery has been done by open procedures which results in long scar marks and prolongedhospital stay. In laparoscopic surgery,the child will have 2-3 tiny scars of 5mm on their abdomen, with less pain and shorter hospital stay as compared to open surgeries.
Dr William Bhatti further mentioned that presence of stones in urinary system is a common problem in children and it can be managed safely with laparoscopic operations. Parents should not ignore if their child complains of continuous abdominal pain and paediatric surgeons should be consulted immediately to prevent further complications.
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