Surgery by doctor Andalib

  Hirschsprung’s Disease in Newborns Questions   1.       What are the characteristic presenting features in neonates with Hirschsprung’s disease (HD)? 2.       What are the types of Hirschsprung’s disease? 3.       What is the initial treatment? 4.       How is Hirschsprung’s disease diagnosed? 5.       What are the surgical options? 6.       What are the long-term sequlae? 7.       What are the associated anomalies? Answers 1.       The presenting features of HD vary depending on the length of the aganglionic segment and the severity. The gestational age at delivery also influences the clinical features, as HD rarely presents in preterm babies. The several methods in which neonatal HD present are: 1. Delayed passage of meconium: In healthy term neonates, delay of more than 48 hours is indicative of HD though this feature occurs in only about 50% of neonates with HD. In preterm babies, delayed passage of meconium is normally seen hence this feature can

Feasibility and efficacy of home rectal irrigation in neonates and early infancy with Hirschsprung ’s  disease Hirschsprung’s  disease  is one of the most common causes of intestinal obstruction in neonates,  affecting up to  approximately  1 in 5000 live births . The definitive treatment of  Hirschsprung’s disease   is surgery where the aganglionic bowel segment is removed by a pull though procedure. The surgery is done in the neonatal or early infancy period either by a single stage procedure or by a multi stage procedure. Single stage pull through procedure (SSPT) is thought to be better than multi staged procedure , nevertheless SSPT in the neonatal period presents with the challenges of inaccurate diagnosis, post operative enterocolitis and delayed post operative recovery.  This prospective observational study is designed  to evaluate the feasibility and efficacy of home rectal irrigation in neonatal and early infancy after which a delayed and planned SSPT will be performed and  o

I am sure hashtags # from the Peoples Republic of Bangladesh will be able to penetrate Israel’s IRONS DOME DEFENCE SYSTEM and if we are lucky might also bring about a drastic change in the Gaza Strip and adjacent areas.  📌NOW THIS WAS AN EXAMPLE OF SARCASM - Level Legendary.  Needless to say I am expecting very few to get the IRONY of the situation.  Point of information: This will be my first and last social media input regarding the Palestine 🇵🇸, Israel 🇮🇱 issue slash terrorism. Always remember one mans terrorist is another man freedom fighter.  As humans and muslims all we can do is pray to our Creator for mercy,forgiveness and justice for our martyred brothers and sisters in Palestine and its vicinity and who are unter excruciating threat, deep in the conflict zones which mainly include- reporters, journalists, healthcare professionals especially the #RedCrescent officials and volunteers. May Allah give us the strength to deal with the hideous on going political unrest and tu