Introduction
Willis Potts – one of the pioneers of pediatric surgery, highlighted in his book “Surgeon and the Child”, that:
“If this infant could speak, it would beg imploringly of the Surgeon, please exercise the greatest gentleness with my miniature tissues and try to correct the deformity at the first operation. Give me blood and the proper amount of fluid and electrolytes, and plenty of oxygen to the anesthesia and I will show that I can tolerate a terrific amount of surgery. You will be surprised at the speed of my recovery and I shall be always grateful to you.”
This is dedicated to the infant who has the great misfortune of being born with a serious deformity.
Evolution and development of the Department of Paediatric Surgery is to establish standards of excellence in the surgical care of infants and children and to provide a forum for the dissemination of information with regard to pediatric surgery.
Surgery of children has been practiced since times immemorial. The rapid strides and the recognition as an independent entity it made during the last six decades is astonishing. It has been likened to the evolution of an acorn to an oak tree, growing from humble beginnings to a well recognized surgical specialty.
While Pediatric Surgery as a specialty is more than 50 years old in India, the Department of Paediatric Surgery was started with two pediatric surgeons in 1986 in GMKMCH, Salem. Daily out-patient and in-patient services and academic activities were carried out. In the year 2001 it was upgraded with one post of Professor. In 2011, two more Professor / Associate Professor posts and 4 Assistant Professors were added. Now in 2022, the department has 1 post of Professor, 2 posts of Associate Professors and 7 posts of Assistant Professors. Daily about 40 out-patients attend our OPD.
Faculties Available
| HOD & Professor | Dr. P. Manikandhan, MS, MCh |
| Associate Professors | Dr. M. Selvakumar, MS, MCh Dr. S. Prabhakaran, MS, MCh |
| Senior Assistant Professors | Dr. N. Saravanan, MS, MCh Dr. M. Shankar, MS, MCh Dr. S. Vijaya Baskaran, MS, MCh |
| Assistant Professor | Dr. J. Sulthana Dhilras, MS, MCh |
| Senior Residents | Dr. N. Kodieshwaran, MS, MCh Dr. P. Jayakumar, MS, MCh |
Facilities Available
- We have our OPD functioning on all days except Sundays, from 10:00 AM to 12:00 Noon. Our elective OT functions on Tuesday, Thursday and Saturday.
- Emergency Paediatric and Newborn OT is available on all days, 24x7. We perform minimally invasive surgeries for newborns and children, and many complex, life-saving surgeries for needy children and newborns with congenital defects.
Outpatient Clinic
- Speciality Clinics
- Endoscopy Room
- Department Library
- Seminar Hall
- Demonstration Room & Class Rooms
- Offices for Faculty Members
- Equipments and Expected Facilities
- Central Laboratory
- Investigation Facilities
- Recreational Facilities
- CSSD
- Central Oxygen Supply
- Air Conditioned Operation Theatres
- ICU
- Laundry
- Kitchen
- Biomedical Waste Disposal
- Generator Facility
- Hostel Facilities
- Central Library
- Blood Bank
- Medical Record Section
- Ethical Committee
- Medical Education Unit
Details Of Infrastructure
Ped Surgery Department – Outdoor
| S.No | Infrastructure (Buildings) |
|---|---|
| 1 | Waiting Space For Patients |
| 2 | Enquiry & Record Room |
| 3 | Examination Rooms – 4 |
| 4 | Dispensary |
| 5 | Endoscopy Rooms |
| 6 | Special Clinics Room |
| 7 | Dressing Room |
| 8 | Case Demonstration Room |
Department Of Paediatric Surgery – Indoor
| S.No | Infrastructure (Buildings) |
|---|---|
| 1 | General Ward |
| 2 | Nursing Station |
| 3 | Examination & Treatment Room |
| 4 | Ward Pantry |
| 5 | Store Room |
| 6 | Resident Doctor And Student Duty Room |
| 7 | Clinical Demonstration Room |
Ped Surgery Department – Faculty Rooms
| S.No | Infrastructure – Rooms |
|---|---|
| 1 | Professor & HOD |
| 2 | Associate Professor |
| 3 | Assistant Professors – Female |
| 4 | Assistant Professors – Male |
Pediatric Surgery Department – Operation Theatre Unit
| S.No | Infrastructure (Buildings) |
|---|---|
| 1 | Major OT |
| 2 | Minor OT |
| 3 | New Born OT |
| 4 | Waiting Room For Patients |
| 4 | Preparation Room |
| 5 | Post-OP Recovery Room |
| 6 | Soiled Linen Room |
| 7 | Sterilization Room |
| 8 | Surgeons Room |
| 9 | Anaesthetist’s Room |
| 10 | Nurses Room |
| 11 | Assistant’s Room |
| 12 | Store Room |
| 13 | Washing Room |
OP / IP Census
| Year | Out Patient Census | In Patient Census | ||||
|---|---|---|---|---|---|---|
| Male | Female | Total | Male | Female | Total | |
| 2020 | 1583 | 678 | 2261 | 709 | 382 | 1091 |
| 2021 | 2755 | 1181 | 3936 | 897 | 385 | 1282 |
| 2022 (Till Date) | 3314 | 1420 | 4734 | 750 | 322 | 1072 |
Elective Surgery Census
| Year | Major Surgery | Minor Surgery |
|---|---|---|
| 2020 | 144 | 59 |
| 2021 | 418 | 37 |
| 2022 (Till Date) | 609 | 469 |
Emergency Operation Census
| Year | Major Surgery | Minor Surgery |
|---|---|---|
| 2020 | 178 | 291 |
| 2021 | 131 | 123 |
| 2022 (Till Date) | 122 | 470 |
Bed Facilities
| Total No. of Teaching Beds Required | 40 |
| Neonatal Surgical ICU Beds | 10 |
| Total No. of Teaching Beds Available | 50 |
| Number of Units in the Department | 2 |
Speciality Clinics
| S.No | Name Of The Clinic | Days |
|---|---|---|
| 1 | Anorectal Clinic | Mondays |
| 2 | Ped. Urology Clinic | Tuesdays |
| 3 | Cleft Lip / Palate Clinic | Wednesdays |
| 4 | Hirschsprung’s Clinic | Thursdays |
| 5 | Newborn Surgery Clinic | Fridays |
| 6 | Antenatal Counselling For Congenital Anomalies | All Days |
Equipments
| S.No | Name Of The Equipment | No. Of Equipment |
|---|---|---|
| 1 | Thoracoscope | 1 |
| 2 | Laparoscope | 2 |
| 3 | Cysto Urethroscopy | 3 |
| 4 | Upper GI Endoscope | 1 |
| 5 | Bronchoscope | 1 |
| 6 | Neonatal Ventilators | 2 |
| 7 | Baby Warmers | 10 |
| 8 | Photo Therapy Unit | 5 |
| 9 | X-Ray Lobby | 4 |
| 10 | Multi Para Monitors | 10 |
Special Equipments
| S.No | Name Of The Equipment | No. Of Equipment |
|---|---|---|
| 11 | Advanced Laparoscopic Set | 2 |
| 12 | Vessel Sealing Devices | 1 |
| 13 | Neonatal Cystoscopy | 1 |
| 14 | Fulgurating Unit For Posterior Urethral Valve | 1 |
| 15 | Monopolar And Bipolar Diathermy | 3 |
| 16 | Uretero Reno Scopy | 1 |
Major Operation Theatre
| S.No | Name Of The Equipment | No. Of Equipment |
|---|---|---|
| 17 | Operating Table | 2 |
| 18 | Laparotomy Set | 2 |
| 19 | Chest Retractor | 1 |
| 20 | Vascular Clamps | 2 |
| 21 | Magnification Loupe | 1 |
Minor Operation Theatre
| 22 | Operation Theatre Light | 1 |
| 23 | Equipments For Minor Surgical Procedures | Available |
Achievements And Awards
- We have conducted our state conference online, “Virtual TNPSCON”, in July 2021.
- We actively take part in state and national conferences, presenting papers and research materials.
- We keep getting appreciation every year from our institution head and from the district collector for our hard work and efforts.
- We operate cases under CMCHIS, admit cases under Varumun Kappom Thittam (VKT), and participate in camps in Makkalai Thedi Maruthuvam, creating public awareness and sensitising the public regarding various congenital conditions and the corrections readily available to help these young lives.
- We participate in TAEI programmes and also train doctors from all parts of the district and other health care workers.
- We take academic sessions and classes for undergraduate MBBS students every month.
- We have MS General Surgery and MD Paediatrics postgraduates posted with us, for whom we conduct regular academic programmes; they have presented research papers and publications in various state and national conferences.
- We have two MCh Paediatric Surgery seats available in our department.
- We celebrated “Paediatric Surgery Week” from November 14 to November 21, 2021, to create public awareness about the problems and diseases in the pediatric age group and the treatments available.
Future Goals
We are working:
- To enhance our institution to a state-of-the-art facility in paediatric and neonatal surgical care.
- To provide a forum for the initiation, discussion and development of ideas and problems related to the surgery of infants and children.
- To stimulate the study and teaching of the surgery of infants and children.
- To disseminate the principle of providing better surgery for children.
Wish To Tell The Public
- We are available 24x7 for any paediatric and neonatal surgical problems and their management.
- Contact Number: 0427-2213679.