Common Misconceptions
Focus on Prevention of disease rather than treatment
Adopt healthy life style - Avoid over eating, avoid "junk" food, aerated drinks, excess fatty foods etc. Eat plenty of fruits, vegetables, raw foods. Ensure adequate exposure to fresh air and sunlight, regular exercise, drink plenty of water and avoid constipation. Ensure completer immunization. Develop calm and peaceful state of mind - Avoid stress of excessive competetiveness, Overcome anger, greed, jealousy, hatred etc. Cultivate Faith in a higher power and intelligence. Absolute, unquestioning faith in GOD is the best method for instantaneous healing.
Early Diagnosis of Disease
Ultrasonography in pregnancy (anomaly scan), Periodic checkup, urine exam for any fever, investigations as per medical advice, do not ignore symptoms
Holistic Approach in treatment
Treatment Focused on whole child rather than on disease with aim to understand psychosocial & other factors behind disease
Day care Surgery
Many procedures are now done as day care surgery - e.g. Hernia, Hydrocele, Orchiopexy, Circumcision, Urethral valve fulguration, Meatotomy, distal hypospadias repair etc.
Regional Blocks for anesthesia
Most pediatric urologic procedures are now done under caudal block which is very safe and avoids risks of general anesthesia.
Minimal Post operative pain
Most children can have practically painless post operative period by judicious combination of intra- operative anesthetic infiltration, rectal analgesic suppositories, early oral analgesics, parenteral narcotics, adequate sedation etc.
Minimum starvation period
Both before and after surgery, children are no longer kept starving for prolonged periods. Most infants and small children can be allowed clear liquids & breast milk up to 2 hrs before surgery. Post operatively, children usually allowed water as soon as they are awake & alert
Minimum pre-operative investigations
Most healthy children may not need any blood investigations prior to even major surgery. This significantly reduces anxiety and pain and the resultant psychologic trauma.
Early ambulation
Most children require minimum rest even after major surgery and hardly require restriction of activity.
No stitch removal
In most cases, the operative wound is closed by absorbable sutures taken beneath the skin, thereby eliminating the need for sutures to be removed. This minimizes anxiety as well as pain.
Minimum Dressings
In most clean surgery where the skin has been closed by subcuticular sutures, the wound gets sealed within 48 hrs after which no dressing is required and the child may even take bath.
Blood transfusion rarely used
With modern surgical techniques, intra operative blood loss is minimal and transfusion is rarely required thereby eliminating complications related to transfusion
Minimum Antibiotic Usage
In most cases of clean surgery only one intra operative dose of antibiotic is used.