Neonatal Surgery is a specialised branch of Pediatric surgery where the pediatric surgeon is called to operate on new born babies that weigh from 1.5 kg to 3 kg.
The main aspects are smaller structures, delicate handling of tissues and majority of congenital anomalies has to be operated within twenty four hours of birth.
Neonatal surgery evolved alongside pediatric surgery. Initially the morbidity and mortality are very high, but with the invention of warmers, better neonatal anesthesia techniques, Neonatal ventilators the sucess and survival rates are high.
We have twenty bedded surgical new born ward at ICH, and seperate operation theatre for new born.
We operate more than thousand new born surgeries every year, we have well trained staff nurses to handle post op new born babies, each pediatric surgeon operate averagely ten cases of new born per month.
The common surgical problems new born are Anorectal malformation (ARM), Esophageal Atresia and Trachea Esophageal Fistula (EA & TEF), Hirschsprung's disease, Bowel Atresia, Intestinal Malrotation, Congenital Lobar Emphysema (CLE), Congenital Cyst Adenomatoid Malformation (CCAM), Congenital Diaphragmatic Hernia (CDH). Exomphal major and minor,(Umblical Ring is wide opened, allows abdominal contents liver, small intestine to come out with covering), Gastrochisis (small bowel comes out of abdominal wall lateral to umbilical ring).
We, pediatric surgeons are trained in neonatal surgery from day one of our MCh period, all MCh trainees has to do hundred new born surgeries before the end of three years.
I have done more than five hundred new born surgeries individually and supervised, assisted MCh trainees nearly two thousand cases.