At Specialist Network we provide a range of paediatric surgical procedures to encompass a wide range of interventions designed specifically for infants and children.
Tongue Tie/Lip Tie
Tongue tie can impact breastfeeding in newborns, but dividing the tongue tie can help. A simple procedure with sugar solution for pain relief is effective for infants up to a few weeks old. Consulting a lactation consultant is recommended for support and identification of tongue tie-related problems.
Other symptoms like speech difficulties or feeding issues may also be present, but the evidence for surgical intervention is limited. We can assess and provide guidance, and involving a speech therapist may be beneficial. Division of lip tie or tongue tie after a few weeks requires general anaesthesia.
Hernias
Inguinal hernias, and the related condition of hydrocele, are common in children. Other hernias frequently seen include umbilical and epigastric hernias. These can generally be assessed clinically and you will be offered surgery if required in a timely fashion.
Unlike adult hernias they do not commonly represent a weakness in the muscle, but rather a potential gap in a muscular wall that has been present since birth. These require delicate and precise surgery to correct.
Undescended Testes
A missing testis is common in newborn boys, and descent usually occurs within the first few months. If the testis cannot be felt or is still too high, it is recommended to consult a paediatric surgeon at the age of six months.
After the age of one year, the cremasteric reflex can become strong, making it difficult to differentiate between an undescended or retractile testicle. If the testis is pulled into the groin, surgery may be needed for optimal development.
Foreskin Problems & Circumcisions
Concerns about non-retractile foreskin often lead to referrals for circumcision. Understanding the normal development of the foreskin can alleviate many concerns. Non-surgical recommendations can help with significant symptoms. Medical circumcision should be rare, as there is no medical reason to routinely circumcise newborns.
We can assess and provide expertise in managing foreskin problems and treatment options include non-surgical approaches and surgical options like prepucioplasty and circumcision. Circumcision, if needed, will be done under general anesthesia. Male cultural circumcision can be considered with both parents’ agreement and formal consent.
Skin Lesions and Swelling
Children can develop various swellings and lesions in the skin and soft tissues, including the head, neck, and other areas of the body. Most of these are non-cancerous but can cause symptoms or carry a risk of infection. Clinical assessment and, if necessary, imaging such as ultrasound scans will determine the need and extent of surgery.
Vascular malformations can be treated in collaboration with interventional radiology specialists. Hemangiomas can also be assessed and treated when necessary.
