And What To Do About It In Malaysia
Most of the time, groin swelling or lumps in young children is caused by either Hernias, Hydrocoeles, or other problems with the testis or ovaries.
Some conditions are more urgent than others and its important to see a doctor early on to perform a proper diagnosis.
Here are a few questions you need to consider before bringing your child to the doctor:
Does it come and go easily?
Is the swelling there all the time?
You need to seek urgent consultation with a child surgeon if your
child's groin lump for is painful and does not go away.
Do NOT wait to schedule an appointment.
Hernias occurs in about 1% of boys and 5% of all hernias seen in children are in girls. An inguinal hernia is caused by a part of the bowel, or fat in the tummy protruding through an opening in the lining of the abdomen, near to the groin. Hernias are more common on the right side and in approximately 15% of cases, it will occur on both sides. An inguinal hernia will usually present during the first year of life, but may present at any stage during childhood. The usual presentation is a lump in the groin, which comes and goes. If a child becomes distressed, the hernia may become more prominent.
In children under the age of 1 year, there is a strong chance that the hernia will become stuck. If this happens, the child will be in pain, and the protruding bowel is at risk of becoming damaged. In boys, there is also a risk of damage to the blood supply of the testicle. Sometimes the hernia may extend all the way down into the scrotum. In girls, the ovary may protrude into the groin. This can be painful and risks losing the ovary. Inguinal hernias may also present with a bowel obstruction, causes swelling of the abdomen and bile vomit.
For children under 1, the hernia is fixed under general anesthesia soon after presentation to a child surgeon, as the risk of being stuck is high. It is less urgent for kids over 1 but nevertheless; it is repaired within a few months to avoid complications and it never “goes away” by itself. Very rarely when the hernia is stuck and when the child surgeon cannot push it back, your child may require urgent surgery. The same goes for girls with a hernia and the ovary protruding out. This has risk of strangulating the blood supply or twisting the ovary and cutting off the blood supply to the ovary, which may die if not repaired immediately.
The hernia operation is performed under general anesthesia and the preferred method is by keyhole surgery. This allows the child surgeon to examine all the structures inside, making sure they are all fine and to check if your child is one of the 15% who has a developing hernia on the other side. This will avoid the potential of a second surgery down the line when it presents as a groin lump. The operation is conducted the same way for both boys and girls. It takes about 30 to 45 minutes to conduct one or both sides if present. The operation for inguinal hernia repair in children is extremely successful and the chance of recurrence is less than 1%. The scar will become barely visible in time.
For a detailed article on Inguinal Hernias in children click here.
A hydrocoele is a collection of fluid, usually around the testicle. In most of cases it is caused by fluid from the tummy that has trickled down through a communicating tube and trapped in a space that surrounds the testicle. Occasionally, it may occur after infection or inflammation of the testicle and it may occur following a twist of a part of the testicle. A hydrocoele may also develop after injury to the testicle and very occasionally may occur in the presence of a testicular cancer. Over 50% of baby boys are born with some degree of hydrocele. It can rarely occur in girls who have a small out-pouching of the lining of the abdomen. A hydrocoele usually presents at birth with a soft painless swelling in the scrotum. It does not cause any distress to the babies.
A child surgeon will examine your child to make the diagnosis of a hydrocoele. However, an ultrasound may occasionally be used to confirm the diagnosis. The majority of hydrocoeles presenting at birth will disappear by the age of 2. Since it does not cause any symptoms or trouble to the testis, it can safely be left alone. If still present at the age of 3 it’s best to be repaired, as it may now never “go away” by itself. The repair is almost identical to the hernia operation, again by the keyhole technique under general anesthesia with excellent outcomes.
The testis comes down from inside the tummy through the groin and into the scrotum, before little boys are born. In some the testis does not come down fully. More commonly, on the right, compared to the left. Sometimes these can be felt as an lump in the groin but what’s important is check that its truly the testis and that there isn’t a testis already in the scrotum.
The testis in the groin can sometimes twist and cut off its blood supply, this will make it inflamed and swell up and appear red and tender to touch. If this happens, it is an emergency and you child need to be rushed to a hospital, preferably one with a child surgeon. Undescended testis however is not an emergency. To improve the sperm production function of the undescended testis, it is fix it down into the scrotum surgically at about 6 months of age. Other benefits of fixing the testis are to prevent twisting (torsion of testis), reduce risk of cancer or to enable self-examination and for cosmetic appearance.
A painful testis needs to be looked at by a surgeon urgently to exclude a twist or torsion of the testis.
For a detailed article on Undescended Testes (Cryptorchidism) in children click here.
Lymph nodes are small gland like structures that help develop the white blood cells to combat infection or inflammation. These are found everywhere in the body. Any infection to the leg may cause the lymph nodes in the groin to swell and get bigger. This can get really big and “pointed”, then it has become an abscess, full of pus.
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Discuss Treatment Options
As a parent myself, I know how daunting it is when you’re faced with the dilemma of finding the best treatment for your children.
My passion is to make sure that all my patients get the best quality of care.
That involves good communication with children and parents while making the journey as pain-free as possible.
Articles and videos to help you diagnose your children and make the right decision for their treatment
Dr. Nada featured in SinChew newspaper on Surgery for Lung Malformations (PART 2) >
胸腔镜治肺畸形 患童少痛楚 2岁前切肺可重生
一般建议,肺畸形婴儿在8至10个月大时进行手术。这个时候的婴儿较为健壮,足以接受择期手术,并且在切除肺叶后,还留有足够的时间让新的肺组织再生。手术方法主要分成传统的开放式手术和胸腔镜手术两种,后者的好处在于孩子在术后不会有太大的痛苦。
在文章中了解更多信息 >
easily.sinchew.com.my/node/4153/%E8%83%B8%E8%85%94%E9%95%9C%E6%B2%BB%E8%82%BA%E7%95%B8%E5%BD%A2-%...
#DrNada #lungmalformation
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Dr. Nada featured in SinChew newspaper on Lung Malformations (PART1) >
肺呼吸道异常 肺隔离 肺气肿 3大常见先天性肺畸形
胎儿肺部发育期间的任何阶段出现异常,就会导致不同类型的肺畸形,但是目前尚不知肺畸形发生确切原因。大约每2万至3万名儿童之间,就有1人患上肺畸形,其中绝大多数是CPAM。
“肺畸形(lung malformation)是指肺组织异常形成的肿块,涵盖了累及气道(airaway)或肺组织本身的病症,例如:
‧先天性肺部呼吸道畸形(Congenital Pulmonary Airway Malformation,CPAM),旧称先天性囊肿性腺瘤样畸形(Congenital Cystic Adenomatoid Malformation,CCAM)
‧支气管肺隔离症(Broncho-Pulmonary Sequestration,BPS)
‧先天性肺叶性气肿(Congenital Lobar Emphysema,CLE)
肺畸形是先天性的,与胎儿肺部形成有关。肺部是从一对肺芽(lung buds)发育而来,它们生长成主要呼吸道、气管、左右肺叶支气管(图1),继续分支出细支气管和末端海绵状的肺泡(alveoli)。就像一棵大树由主干长成树枝,在这种情况下,支气管分支和肺泡就像树叶。👇
easily.sinchew.com.my/node/4151/%E8%82%BA%E5%91%BC%E5%90%B8%E9%81%93%E5%BC%82%E5%B8%B8-%E8%82%BA%...
#DrNada #lungmalformation
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See Part 2 - surgery for Lung Malformation: easily.sinchew.com.my/node/4153/%E8%83%B8%E8%85%94%E9%95%9C%E6%B2%BB%E8%82%BA%E7%95%B8%E5%BD%A2-%...
More here > www.drnadachildsurgeon.com/zh-CN/resources/what-is-lung-malformation-in-children-causes-symptoms-...
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Questions parents can ask a potential paediatric surgeon >>>
𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧 𝟏𝟏. 𝐈𝐟 𝐬𝐨𝐦𝐞𝐭𝐡𝐢𝐧𝐠 𝐠𝐨𝐞𝐬 𝐰𝐫𝐨𝐧𝐠, 𝐜𝐚𝐧 𝐲𝐨𝐮 𝐟𝐢𝐱 𝐢𝐭 𝐚𝐠𝐚𝐢𝐧 𝐥𝐚𝐭𝐞𝐫 𝐢𝐟 𝐈 𝐧𝐞𝐞𝐝 𝐚𝐧𝐨𝐭𝐡𝐞𝐫 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧?
𝐃𝐫 𝐍𝐚𝐝𝐚: "When we assess the outcomes of surgery, we like to see that function is as normal as we can get it after surgery and secondly the appearance should be great too.
If something does not turn out as expected, there may be non-surgical remedies that can prevent issues with function or appearance. However, in rare cases, there may be a need for surgical repair."
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- 𝐇𝐨𝐰 𝐓𝐨 𝐂𝐡𝐨𝐨𝐬𝐞 𝐓𝐡𝐞 𝐑𝐢𝐠𝐡𝐭 𝐏𝐚𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐒𝐮𝐫𝐠𝐞𝐨𝐧 𝐅𝐨𝐫 𝐘𝐨𝐮𝐫 𝐂𝐡𝐢𝐥𝐝 𝐢𝐧 𝐌𝐚𝐥𝐚𝐲𝐬𝐢𝐚 -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
#drnada #paediatricsurgeon #pediatrics #paediatrics #paediatricsurgery
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If Instagram is more your thing nowadays make sure you follow me there for more paediatric surgery advice!
www.instagram.com/drnadachildsurgeon/
See you on the gram!
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Questions parents can ask a potential paediatric surgeon >>>
𝟏𝟎. 𝐖𝐡𝐚𝐭 𝐢𝐬 𝐭𝐡𝐞 𝐩𝐨𝐬𝐬𝐢𝐛𝐥𝐞 𝐨𝐮𝐭𝐜𝐨𝐦𝐞 𝐢𝐟 𝐭𝐡𝐞 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 𝐟𝐚𝐢𝐥𝐬 𝐭𝐨 𝐜𝐨𝐫𝐫𝐞𝐜𝐭 𝐦𝐲 𝐜𝐡𝐢𝐥𝐝’𝐬 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧?
Dr Nada: "For any situation, especially in children, surgery is best done once and done well so there are no problems with your child for the rest of his or her life.
It is essential to pick your surgeon carefully. For your child, do look for a Paediatric surgeon (not an adult general surgeon) who is experienced in the field. You will have an idea of your surgeon's experience and often a gut feeling from your rapport with the surgeon.
A skilled paediatric surgeon should be able to make good progress with your child’s condition, so do avoid adult surgeons for even common conditions such as appendicectomies or hernias where the risk of complications in the wrong hands are greater.
If the surgery fails, reassessment is made to decide if repeat surgery is required.
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- 𝐇𝐨𝐰 𝐓𝐨 𝐂𝐡𝐨𝐨𝐬𝐞 𝐓𝐡𝐞 𝐑𝐢𝐠𝐡𝐭 𝐏𝐚𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐒𝐮𝐫𝐠𝐞𝐨𝐧 𝐅𝐨𝐫 𝐘𝐨𝐮𝐫 𝐂𝐡𝐢𝐥𝐝 𝐢𝐧 𝐌𝐚𝐥𝐚𝐲𝐬𝐢𝐚 -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
#drnada #paediatricsurgeon #pediatrics #paediatrics #paediatricsurgery
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The first signs of 𝐚𝐩𝐩𝐞𝐧𝐝𝐢𝐜𝐢𝐭𝐢𝐬 are often a mild fever and pain around the belly button. It might seem like just a stomachache.
But with appendicitis, the pain usually gets worse and moves to the lower right side of the belly.
If a child has belly pain, be on the lookout for these signs of appendicitis:
- strong pain, mainly around the belly button or in the lower right part of the belly (the pain might come and go at first, then grow steady and intense)
- low-grade fever
- loss of appetite
- nausea (feeling sick) and vomiting (throwing up)
- diarrhea (especially small amounts, with mucus)
- swollen belly
If pain spreads across the belly, it may mean the appendix has burst. Doctors call this ruptured appendicitis, and it’s serious. A high fever reaching 104°F (40°C) is another sign of a burst appendix.
𝐂𝐚𝐥𝐥 𝐚 𝐩𝐚𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐬𝐮𝐫𝐠𝐞𝐨𝐧 𝐫𝐢𝐠𝐡𝐭 𝐚𝐰𝐚𝐲 𝐢𝐟 𝐲𝐨𝐮 𝐭𝐡𝐢𝐧𝐤 𝐚 𝐜𝐡𝐢𝐥𝐝 𝐡𝐚𝐬 𝐚𝐩𝐩𝐞𝐧𝐝𝐢𝐜𝐢𝐭𝐢𝐬. 𝐓𝐡𝐞 𝐬𝐨𝐨𝐧𝐞𝐫 𝐢𝐭’𝐬 𝐜𝐚𝐮𝐠𝐡𝐭, 𝐭𝐡𝐞 𝐞𝐚𝐬𝐢𝐞𝐫 𝐢𝐭 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐭𝐨 𝐭𝐫𝐞𝐚𝐭.
LEARN MORE in the article and videos below (also available in BM and Chinese)
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Dr. Nada Sudhakaran, is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps a child experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
#appendicitis #surgery #pediatrics
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Questions parents can ask a potential paediatric surgeon >>>
𝟗. 𝐖𝐡𝐚𝐭 𝐡𝐚𝐩𝐩𝐞𝐧𝐬 𝐢𝐟 𝐬𝐨𝐦𝐞𝐭𝐡𝐢𝐧𝐠 𝐠𝐨𝐞𝐬 𝐰𝐫𝐨𝐧𝐠 𝐝𝐮𝐫𝐢𝐧𝐠 𝐬𝐮𝐫𝐠𝐞𝐫𝐲?
Dr. Nada: "In my experience, it is rare for something bad to happen during surgery.
Usually the problem is addressed in the acute situation and what happens during surgery is discussed with the child’s parents.
If I were to find something unusual during surgery and require further discussion and consent from parents, I would stop surgery, discuss with the child’s parents and then proceed with the decision of that discussion."
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- How To Choose The Right Paediatric Surgeon For Your Child in Malaysia -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
#drnada #paediatricsurgeon #pediatrics #paediatrics #paediatricsurgery
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When it comes to Appendicitis in children, usually the only solution is to remove the appendix via surgery (appendectomy).
Parents will have two types of surgery to choose from:
1) OPEN surgery, or
2) KEYHOLE surgery (or laparoscopic surgery).
Do you know what the difference is between these two techniques?
One of them leads to less scarring, less pain and faster recovery for the child.
Find out which one that is by watching Dr Nada's video below 👇
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Also you can find out all about Appendicitis in children and how it can be treated in Malaysia by reading this helpful article:
www.drnadachildsurgeon.com/resources/appendicitis-children-symptoms-causes-treatment-recovery/
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Dr. Nada Sudhakaran, is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps a child experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
#appendicitis #surgery #pediatrics
... See MoreSee Less
Good explanation Dr. Simple for layman
Questions parents can ask a potential paediatric surgeon >>>
𝟖. 𝐖𝐡𝐚𝐭 𝐢𝐬 𝐭𝐡𝐞 𝐜𝐨𝐦𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐫𝐚𝐭𝐞 𝐟𝐨𝐫 𝐩𝐞𝐫𝐟𝐨𝐫𝐦𝐢𝐧𝐠 𝐭𝐡𝐢𝐬 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 𝐨𝐧 𝐜𝐡𝐢𝐥𝐝𝐫𝐞𝐧 𝐨𝐟 𝐦𝐲 𝐜𝐡𝐢𝐥𝐝’𝐬 𝐚𝐠𝐞 𝐚𝐧𝐝 𝐰𝐞𝐢𝐠𝐡𝐭 𝐫𝐚𝐧𝐠𝐞?
Dr. Nada: "Surgery is done only if it's necessary and done at the appropriate time.
Some conditions may require emergency surgery, even for a newborn, if the condition requires it. There are therefore a variety of conditions and severity of illnesses in children that I face, also their ages range from newborn or even premature babies up to someone of 18 years old. Obviously, the more sick child has a higher risk when going for surgeries.
Anaesthesia these days is extremely safe even for newborn babies. As mentioned before for 99% of the surgeries I do, the risks are minimal.
The very rare sick child or newborn baby may carry a higher risk for surgery and these risks will be discussed with their parents thoroughly before every surgery."
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- How To Choose The Right Paediatric Surgeon For Your Child in Malaysia -
In this series, Dr. Nada shares some questions parents can and should ask a potential paediatric surgeon to help them decide if he or she is the right surgeon to care for their child.
Dr. Nada offers his own answers to these questions so that you can get a general sense of what to expect as a good answer.
Choosing the right paediatric surgeon for your child in Malaysia can be a difficult task.
You want to make sure that you are putting your trust in the best possible care for your child.
www.drnadachildsurgeon.com/resources/how-choose-paediatric-surgeon-child-malaysia/
#drnada #paediatricsurgeon #pediatrics #paediatrics #paediatricsurgery
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Dr Nada Sudhakaran is a consultant Paediatric Surgeon providing specialized children surgery and based in Kuala Lumpur Malaysia. He has extensive experience in reconstructive paediatric surgery, with a special interest in Minimally Invasive Surgery (keyhole surgery). He is on the specialist register to practice Paediatric Surgery in UK, Malaysia and Australia
MBBS University of Wales, UK, MRCS (Glasgow, UK), FRCS (Paediatric Surgery, Intercollegiate Board, UK), CCT Paediatric Surgery General Medical Council (UK), No: 4193546, FRACS Paediatric Surgery, Australia, No: 200030, National specialist Register Malaysia: No: 129809
© Copyright 2022 Dr Nada Child Surgeon | All Rights Reserved
A Project By Roberto Cumaraswamy & Website Artisan
© Copyright 2022 Dr Nada Child Surgeon | All Rights Reserved
A Project By Roberto Cumaraswamy & Website Artisan