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The Paediatric General Surgery Department at Manipal Hospitals, Mukundapur, Kolkata, stands at the forefront of advanced medical care for children requiring specialised procedures such as Bronchoscopy and Airway Reconstruction. With a focus on precision and innovation, the department utilises state-of-the-art technologies to ensure accurate diagnosis and effective treatment.
Bronchoscopy, a procedure used to examine the airways of the lungs, plays a crucial role in diagnosing and treating various pediatric respiratory conditions. Advanced bronchoscopic techniques enable our specialists to visualise and biopsy lesions, remove foreign bodies, and manage airway obstructions with precision and minimal invasiveness. This capability is especially critical in cases of congenital anomalies, recurrent infections, and tumours affecting the airways.
Airway Reconstruction procedures are another cornerstone of our department's expertise. Whether addressing congenital malformations, tracheal stenosis, or other complex airway disorders, our pediatric surgeons employ advanced surgical techniques tailored to each child's unique needs. Paediatric Bronchoscopy and Airway Reconstruction in Mukundapur include meticulous planning and execution to restore optimal airway function, ensuring improved respiratory outcomes and quality of life for young patients.
At Manipal Hospitals, Mukundapur, our Paediatric General Surgery Department is dedicated to delivering compassionate, state-of-the-art care, ensuring every child receives the best possible treatment for complex airway conditions through advanced Bronchoscopy and Airway Reconstruction techniques.
A child may need bronchoscopy and airway reconstruction to diagnose and treat breathing problems like chronic cough, noisy breathing, or difficulty breathing. These procedures help doctors look inside the airways, find blockages or narrow spots, and fix them to make breathing easier and improve overall health.
Premature neonates are frequently affected by breathing issues associated with lung development, which can lead to bronchopulmonary dysplasia, pneumonia, and respiratory distress syndrome. Babies born prematurely are more prone to illnesses because their immune systems are not as developed. When a baby's capacity to produce surfactant is underdeveloped, it might result in respiratory distress syndrome, which causes the lungs to collapse due to their inability to stay open. For kids born more than 10 weeks prematurely, bronchopulmonary dysplasia poses the most danger since it can result in potentially fatal complications from mechanical breathing therapy.
Some airway defects that commonly affect children are,
Blockage of the upper airways at the voice box
Obstruction of the lower airways that arises at the intersection of the larynx and small passageways
Partial blockage of the airway that permits some air to flow
Total blockage of the airways, preventing the passage of any air; respiration is impacted
The foreign item immediately causes acute airway blockage
Chronic airway blockages that may not appear for a long time or that will not go away quickly
Some early signs of a narrow airway in children may include,
Breathing difficulties both during and after physical activity
Stridor- A noisy breathing that sounds like a high-pitched scream
Increased respiratory effort, resulting in retractions (sucking in around the chest and ribs)
Congestion in the chest or cough
A sensation of "stuck" mucus in the airway
Recurring upper respiratory infections or pneumonia
Asthma that is not improved by standard care
Breathing pauses (apnea)
The skin surrounding the nose, mouth, and gums appears bluish.
Breathing problems or choking while eating
Becomes quickly tired after eating
Certain breathing problems typically appear after birth. Having one of the following is one probable cause:
An extended duration of use of a breathing tube
Injury to the neck
Swelling
Infection
Presence of mass in the windpipe
The nurse will give you a call to inquire about the health of your child. The nurse will advise you on when to take your kid to the hospital, when to stop giving them food and beverages, and when the operation is scheduled to take place. The surgery can get delayed if your child consumes any of these foods. Your doctor would discuss with you about the food and medicines to give to your child before the surgery.
Anaesthesia will be administered to your child for the surgery. It is a type of medication that both eases their discomfort and promotes sleep. It is often administered by an intravenous (IV) catheter or inhaled via a mask.
An intensive care unit (ICU) hospitalisation for your kid might last anywhere from three to seven days. To avoid movement and potential harm to their newly healed airway, he or she may be placed under sedation (put to sleep) and have a breathing tube inserted into their nose during this period. After the reconstructive surgery, the airway will be reevaluated three to seven days later. If feasible, extubation—the removal of the breathing tube—will then occur. A seven-to 14-day hospital stay is usually required for the child to completely recover.
If your child isn't feeling uneasy or throwing up (vomiting), they can consume modest amounts of clear liquids once they wake up. For the whole day, they must consume a lot of liquids. The doctor will let you know when to give solid food to the child. They could be more worn out than usual. This is normal. The child can have a sore throat and a raspy voice. A little fever can occur. Encourage your child to drink lots of fluids to help avoid or reduce a fever.
Paediatric bronchoscopy is a safe procedure. All medical procedures carry some risk, although complications are extremely uncommon and usually mild.
Bronchoscopy risks include:
Bleeding (if biopsies are taken)
Congestion
Fever
Infection
There is also a very small risk of a partially collapsed lung, which is treatable and children can make a full recovery.
After surgery, your kid will stay in the hospital for at least a week while recuperating and before the breathing tube is taken out.
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