PAEDIATRIC SURGERIES

Dr. Kirti Prajapati has years of experience caring for children with colorectal conditions, including anorectal malformations, Hirschsprung disease, fecal incontinence, idiopathic constipation and other colorectal disorders. Defects of the colon, rectum and anus occur during fetal development and affect as many as one in 4,000 babies. The doctor, along with the interdisciplinary team, creates an individualized plan for each patient that is based on medical history, clinical evaluation and thorough diagnosis.

We offer specialized care for children with complex conditions, including:

Treatment
The first step in treating colorectal disorders is to ensure the most accurate diagnosis and obtain a thorough understanding of each patient’s anatomy prior to treatment, through diagnostic testing such as contrast enemas and distal colostograms. A colostomy may be needed depending on the type of colorectal condition.

Most pediatric surgeons now use the posterior sagittal approach to repair these malformations with or without laparotomy or laparoscopy. After surgery, anal dilations may be required if indicated. Colostomy closure will be the final stage if staged repair is done.

The goal of Dr. Kirti Prajapati is to achieve the best possible functional outcome to help each patient enjoy an exceptional quality of life.

What is Hirschsprung’s disease?
Hirschsprung's disease (also called colonic aganglionosis) is a blockage of the large intestine due to improper muscle movement in the bowel. It is a congenital condition, which means it is present from birth.

Treatment
Before the operation, a procedure called serial rectal irrigation helps relieve pressure in (decompress) the bowel. The abnormal sections of colon and rectum must be removed with surgery to permit the child to pass stools easily. The healthy part of the colon is then moved into the child’s pelvis and attached to the anus.